Individual
MRS. ANN S BRUNER-WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
401 BICENTENNIAL WAY # 120, SANTA ROSA, CA 95403-2149
(707) 571-3079
(707) 571-4559
Mailing address
PO BOX 134, SANTA ROSA, CA 95402-0134
(707) 571-3079
(707) 571-4559
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13650
CA
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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