Individual
DR. MORDECHAI J. BRONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 RIVER RD STE 101, EUGENE, OR 97404
(541) 344-8469
(541) 687-8631
Mailing address
2401 RIVER RD STE 101, EUGENE, OR 97404-5412
(541) 344-8469
(541) 687-8631
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
042.0013624
VT
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD192339
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2012
Last updated
06/03/2019
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