Individual
PAUL A. BRUNDAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2415 CHAMBLISS AVE NW, CLEVELAND, TN 37311-3882
(423) 559-2800
(423) 559-0532
Mailing address
2415 CHAMBLISS AVE NW, CLEVELAND, TN 37311-3882
(423) 559-2800
(423) 559-0532
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
3945545
TN
Other
Enumeration date
06/14/2006
Last updated
10/05/2015
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