Individual
DAVID B BRUNSTETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
165 PEPPERS FERRY RD, WYTHEVILLE, VA 24382-2363
(276) 223-5400
Mailing address
165 PEPPERS FERRY RD, WYTHEVILLE, VA 24382-2363
(276) 223-5400
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101055719
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945441
—
VA
01
—
384461
ANTHEM
VA
Enumeration date
05/10/2006
Last updated
11/02/2011
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