Individual
CHANTE SIMONE BUNTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2030 N PACIFIC AVE, SUITE F, SANTA CRUZ, CA 95060-7602
(831) 251-1338
Mailing address
2030 N PACIFIC AVE, SUITE F, SANTA CRUZ, CA 95060-7602
(831) 251-1338
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A76678
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
A76678
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8528143
—
WA
Enumeration date
10/16/2006
Last updated
04/26/2012
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