Organization
ROSEBURG ANESTHESIOLOGY SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BART JOSEPH BRUNS MD (PRESIDENT)
(503) 372-2740
Entity
Organization
Contact information
Practice address
2700 NW STEWART PKWY, ROSEBURG, OR 97470-1281
(541) 673-0611
Mailing address
PO BOX 94383, SEATTLE, WA 98124-6683
(503) 372-2740
(503) 372-2754
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227617
—
OR
01
—
DB2232
RAILROAD MEDICARE
OR
Enumeration date
06/13/2006
Last updated
03/09/2015
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