Individual
MS. JOAN ELIZABETH BRUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
425 SCOTT ST, ALEXANDRIA, LA 71301-8131
(318) 445-7355
(318) 487-8035
Mailing address
425 SCOTT ST, ALEXANDRIA, LA 71301-8131
(318) 445-7355
(318) 487-8035
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
017125
LA
207QA0401X
Addiction Medicine (Family Medicine) Physician
61-17296
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080169582
RAILROAD MEDICARE
—
05
—
1337820
—
LA
01
—
720477182
VARIOUS INSURANCES
—
Enumeration date
08/16/2005
Last updated
07/23/2021
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