Individual
JEFFREY JON BRUENING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
219 W BADILLO ST, SUITE A, COVINA, CA 91723-1907
(626) 915-8777
(626) 915-8779
Mailing address
219 W BADILLO ST, SUITE A, COVINA, CA 91723-1907
(626) 915-8777
(626) 915-8779
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4407
CA
Other
Enumeration date
10/26/2006
Last updated
06/24/2011
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