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Individual

DR. JOSEPH P BRUNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
420 E 6TH ST STE 202, ODESSA, TX 79761-4572
(432) 582-8757
(432) 582-8928
Mailing address
PO BOX 4123, ODESSA, TX 79760-4123
(432) 582-2277
(432) 333-2802

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
MD20832
TN
207VM0101X
Maternal & Fetal Medicine Physician
Primary
N2965
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8895NO
TX
Enumeration date
06/14/2005
Last updated
01/05/2016
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