Individual
WILLIAM BRUCE BUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
206 CORNELIA ST, STE 307, PLATTSBURGH, NY 12901-2779
(518) 562-7705
(518) 562-7706
Mailing address
206 CORNELIA ST, STE 307, PLATTSBURGH, NY 12901-2779
(518) 562-7705
(518) 562-7706
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
196475
NY
207RP1001X
Pulmonary Disease Physician
Primary
196475
NY
207Y00000X
Otolaryngology Physician
196475
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01498897
—
NY
Enumeration date
08/18/2005
Last updated
03/09/2017
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