Individual
STEPHEN RAYMOND BUNKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2712 BEE CAVES RD, SUITE #122, AUSTIN, TX 78746-5676
(512) 726-0599
(800) 308-9876
Mailing address
2712 BEE CAVES RD, SUITE 122, AUSTIN, TX 78746-5676
(512) 726-0599
(800) 308-9876
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
G0961
TX
2085N0904X
Nuclear Radiology Physician
G36647
CA
2085R0202X
Diagnostic Radiology Physician
G36647
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G366471
—
CA
Enumeration date
04/22/2006
Last updated
03/05/2014
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