Individual
DEBORA SANTOS BRUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
815 N KANSAS AVE, SUITE 100, HASTINGS, NE 68901-4470
(402) 460-5899
(402) 460-5619
Mailing address
702 W 35TH ST, HASTINGS, NE 68901-7385
(402) 460-5899
(402) 460-5619
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
23664
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025662600
—
NE
05
—
200385920A
—
KS
01
—
249581
MIDLANDS CHOICE
NE
01
—
30418
BLUE CROSS BLUE SHIELD
NE
Enumeration date
05/15/2006
Last updated
09/17/2008
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