Individual
DR. HEATHER C BRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3855 HEALTH SCIENCES DR, 0987, LA JOLLA, CA 92093-1503
(858) 534-7079
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101243791
VA
207P00000X
Emergency Medicine Physician
C55860
CA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
C55860
CA
Other
Enumeration date
06/11/2008
Last updated
08/16/2017
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