Individual
RICHARD EVANS BRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
112 N 7TH ST, CHAMBERSBURG, PA 17201-1720
(717) 217-4300
(717) 221-7421
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5101010451
MI
208M00000X
Hospitalist Physician
Primary
OS014943
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102555527
—
PA
01
—
300098888
RAILROAD MEDICARE
MI
05
—
30062200
—
WI
05
—
3061888
—
MI
Enumeration date
07/26/2005
Last updated
09/12/2024
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