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Individual

BRYANT UNRUH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
60875
TN
208600000X
Surgery Physician
BP10050301
TX

Other

Enumeration date
04/23/2014
Last updated
11/12/2024
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