Individual
BRENT TIMOTHY KUNZLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
207 W LEGION RD, BRAWLEY, CA 92227-7780
(760) 351-3130
(760) 351-3137
Mailing address
490 PAINTBRUSH WAY, ST GEORGE, UT 84790-8319
(435) 272-9239
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA19659
CA
Other
Enumeration date
03/25/2008
Last updated
08/17/2023
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