Individual
DR. ROGER M BRUNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7301 E FRONTAGE RD, SUITE 100, SHAWNEE MISSION, KS 66204-1654
(913) 384-4040
(913) 384-4093
Mailing address
PO BOX 931288, KANSAS CITY, MO 64193-0001
(913) 789-4155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-18080
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07923055
BLUE CROSS
KS
Enumeration date
09/28/2006
Last updated
07/08/2007
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