Organization
BIRD'S EYE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL D BUNGE MD (CEO, MD)
(360) 556-6581
Entity
Organization
Contact information
Practice address
2915 29TH AVE SW STE A, TUMWATER, WA 98512-6183
(360) 818-9592
(360) 688-7015
Mailing address
2915 29TH AVE SW STE A, TUMWATER, WA 98512-6183
(360) 556-6581
(360) 688-7015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8396616
—
WA
Enumeration date
03/26/2021
Last updated
03/26/2021
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