Individual
DR. AUDRA KATHLEEN BRUNELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
505 PARNASSUS AVE, ROOM M-391, BOX 0628, SAN FRANCISCO, CA 94143-2204
(415) 476-1575
(415) 476-0616
Mailing address
505 PARNASSUS AVE, ROOM M-391, BOX 0628, SAN FRANCISCO, CA 94143-2204
(415) 476-1575
(415) 476-0616
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A129883
CA
Other
Enumeration date
05/26/2009
Last updated
01/29/2015
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