Individual
AUDREY LUDWIG BUNCH
Active
Individual
AUDREY LUDWIG BUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, M.S.
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C0003830
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245480318
—
VA
Enumeration date
09/25/2008
Last updated
04/12/2012
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