Individual
JEFFREY DAVID BUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
217 W CATALDO AVE FL 2, SPOKANE, WA 99201-2217
(509) 624-2326
(509) 744-3040
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
(092) 275-7070
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
MD00041148
WA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
MD00041148
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018290
—
WA
01
—
162741
LABOR & INDUSTRIES
WA
Enumeration date
05/11/2006
Last updated
08/23/2023
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