Individual
DR. WARNER LEE BRUNER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
710 COLONIAL DR, BATON ROUGE, LA 70806-6511
(225) 927-5325
(225) 927-4150
Mailing address
710 COLONIAL DR, BATON ROUGE, LA 70806-6511
(225) 927-5325
(225) 927-4150
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
014051
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1359335
—
LA
01
—
F2509
BLUE CROSS
LA
Enumeration date
07/21/2005
Last updated
08/10/2016
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