Individual
WILLIAM JOHN BUNGE-KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1190, 900 E, PROVO, UT 84604
(801) 422-8365
Mailing address
SECOND FLOOR, 1190, 900 E, PROVO, UT 84604
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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