Individual
GERTRUDE BARNES BRUNDAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1046 DIVISION ST, BILOXI, MS 39530-2935
(228) 374-2494
Mailing address
1046 DIVISION ST, BILOXI, MS 39530-2935
(228) 374-2494
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA02858500
NJ
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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