Individual
DR. ROBERT L BRUNSTON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1720A MEDICAL PARK DR, SUITE 180, BILOXI, MS 39532-2129
(228) 396-1735
(228) 396-1737
Mailing address
1720A MEDICAL PARK DR, SUITE 180, BILOXI, MS 39532-2129
(228) 396-1735
(228) 396-1737
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
17394
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124776
—
MS
Enumeration date
10/11/2005
Last updated
08/12/2014
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