Individual
MR. ROBERT L BRUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
102 GREGOR MENDEL CIR, GREENWOOD, SC 29646-2315
(864) 229-2663
(864) 229-5694
Mailing address
13500 CHENAL PKWY APT 304, LITTLE ROCK, AR 72211-5371
(219) 670-5480
(219) 836-1014
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3473
SC
Other
Enumeration date
07/21/2011
Last updated
01/31/2020
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