Individual
MR. PHILLIP C. BUNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
3110 MITCHELL ST, MADISON, WI 53704-2529
(608) 245-4567
(608) 245-4628
Mailing address
3110 MITCHELL ST BLDG 500, P.O. BOX 2591, MADISON, WI 53704-2529
(608) 245-4684
(608) 245-4628
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
845-023
WI
Other
Enumeration date
02/14/2006
Last updated
12/03/2007
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