Organization
JAMES E BRUNS OD A PROFESSIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE C BORDI (OFFICE MANAGER)
(707) 584-7294
Entity
Organization
Contact information
Practice address
6180 STATE FARM DR, ROHNERT PARK, CA 94928-2135
(707) 584-7294
(707) 584-4728
Mailing address
6180 STATE FARM DR, ROHNERT PARK, CA 94928-2135
(707) 584-7294
(707) 584-4728
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
CA5247
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0052470
—
CA
Enumeration date
03/23/2012
Last updated
12/19/2013
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