Individual
DAVID C BRUNELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2901 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4614
(253) 534-7000
(253) 534-7099
Mailing address
2901 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4614
(253) 534-7000
(253) 534-7099
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
MD00032102
WA
208000000X
Pediatrics Physician
MD00032102
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017114
—
WA
Enumeration date
07/18/2006
Last updated
11/22/2021
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