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Individual

PAUL RANDOL BRUNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2340 E MEYER BLVD BLDG 2, SUITE 348, KANSAS CITY, MO 64132-1105
(816) 444-7977
(630) 528-9578
Mailing address
4601 W 109TH ST STE 100, OVERLAND PARK, KS 66211-1313
(913) 942-0540
(630) 528-9589

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
04-31286
KS
207RI0200X
Infectious Disease Physician
Primary
2007015339
MO

Other

Enumeration date
12/13/2006
Last updated
02/07/2019
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