Individual
MR. MATTHEW A. BRUNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
SELLS HOSPITAL, HWY 86, SELLS, AZ 85634-8563
(928) 226-7494
Mailing address
3226 E ELIDA ST, TUCSON, AZ 85716-3221
(734) 730-1035
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D008212
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
871683
—
AZ
Enumeration date
06/13/2006
Last updated
12/11/2020
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