Individual
MERRIBETH BRUNTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
777 BANNOCK ST, MC 7782, DENVER, CO 80204-4507
(303) 436-6000
Mailing address
777 BANNOCK ST, MC 7782, DENVER, CO 80204-4507
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
633
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04750331
—
CO
Enumeration date
07/12/2006
Last updated
07/08/2007
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