Organization
ROBERT J. BUNGE, M.D., PSC
Active
Organization
ROBERT J. BUNGE, M.D., PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J. BUNGE M.D. (PRESIDENT)
(859) 223-6700
Entity
Organization
Contact information
Practice address
3121 WALL ST, LEXINGTON, KY 40513-1711
(859) 223-6700
(859) 223-5202
Mailing address
3121 WALL ST, LEXINGTON, KY 40513-1711
(859) 223-6700
(859) 223-5202
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
22523
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000048820
ANTHEM
KY
01
—
1396727079
INDIVIDUAL PROVIDER NPI
KY
05
—
64225238
—
KY
Enumeration date
04/18/2007
Last updated
07/25/2007
Update your record
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