Individual
ROBERT BUNNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2084 N 1700 W, SUITE A, LAYTON, UT 84041
(801) 773-8644
(801) 773-9828
Mailing address
1159 E 200 N STE 100, AMERICAN FORK, UT 84003-2053
(801) 553-8408
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
104662-1206
UT
Other
Enumeration date
12/19/2005
Last updated
04/23/2020
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