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Individual

MILTON E BRUNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
353 CASH RD SW, CAMDEN, AR 71701-3704
(870) 836-8101
(870) 837-6833
Mailing address
PO BOX 757, CAMDEN, AR 71711-0757
(870) 836-8101
(870) 837-6833

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C5868
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000061219306
UNITED HEALTH CARE
05
110187001
AR
01
13282000001
QUALCHOICE
CO
01
5295276
AETNA
01
7700254301
BREASTCARE
AR
Enumeration date
03/01/2006
Last updated
10/03/2008
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