Individual
DR. BRUCE R JUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
46 MARISA CT, CORBIN, KY 40701-8935
(606) 280-1514
Mailing address
46 MARISA CT, CORBIN, KY 40701-8935
(606) 280-1514
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27961
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64279615
—
KY
Enumeration date
12/28/2005
Last updated
04/06/2017
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