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Individual

DR. MARK DOUGLAS BRUNOT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
120 N FRANKLIN ST, TITUSVILLE, PA 16354-1761
(814) 827-7965
(814) 827-7945
Mailing address
120 N FRANKLIN ST, TITUSVILLE, PA 16354-1761
(814) 827-7965
(814) 827-7945

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007732L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000117781
UNISON
PA
05
001764520001
PA
01
1897579
FIRST HEALTH
PA
01
211508
UPMC
PA
01
409737
HEALTH AMERICA
PA
01
8687183
CIGNA
PA
01
BR828150
BC/BS
PA
01
MA860738
BC/BS
PA
01
R11191240
MULTIPLAN
PA
Enumeration date
06/14/2006
Last updated
07/08/2007
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