Individual
ALEX BRUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8216 STONES FERRY RD, INDIANAPOLIS, IN 46278-5010
(317) 910-9379
Mailing address
8216 STONES FERRY RD, INDIANAPOLIS, IN 46278-5010
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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