Individual
DR. JOEL ROY BRUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2725 ANDREW AVE, PASCAGOULA, MS 39567-1815
(282) 762-0713
(287) 697-4842
Mailing address
2712 CRISWELL AVE, PASCAGOULA, MS 39567-1143
(228) 762-0713
(228) 762-0712
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
09811
MS
207RN0300X
Nephrology Physician
MS09811
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00117494
—
MS
Enumeration date
07/08/2005
Last updated
12/09/2024
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