Individual
ANDREW BRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MSC 10-5550 1, UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131
(505) 272-4661
(505) 272-4628
Mailing address
MSC 10-5550 1, UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD2018-0003
NM
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/09/2012
Last updated
10/30/2019
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