Individual
MRS. SANDRA KAY BRUNGARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BC-HIS
Contact information
Practice address
11654 HURON ST, NORTHGLENN, CO 80234-2921
(303) 255-9595
(303) 255-9596
Mailing address
5115 MT BUCHANAN AVE, FREDERICK, CO 80504-5546
(303) 485-6961
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
148
CO
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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