Individual
MARK THOMAS BRUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
925 IRONWOOD DR, SUITE 2101, MINDEN, NV 89423-5178
(775) 445-7745
(775) 782-0073
Mailing address
PO BOX 4540, CARSON CITY, NV 89702-4540
(775) 445-7745
(775) 852-6902
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7134
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002003251
—
NV
Enumeration date
08/04/2006
Last updated
09/18/2014
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