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Organization

THOMAS E. BRUDERLY, DO, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS E BRUDERLY DO (MANAGING MEMBER)
(330) 848-0123
Entity
Organization

Contact information

Practice address
201 5TH ST NE, SUITE 3, BARBERTON, OH 44203-3017
(330) 848-0123
(330) 848-1493
Mailing address
201 5TH ST NE, SUITE 3, BARBERTON, OH 44203-3017
(330) 848-0123
(330) 848-1493

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Enumeration date
01/15/2008
Last updated
04/18/2009
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