Individual
DIETER BRUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 TROUSDALE DR, BURLINGAME, CA 94010-4506
(650) 652-7015
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(650) 652-7015
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
9601253
NC
208800000X
Urology Physician
Primary
A96007
CA
Other
Enumeration date
12/29/2005
Last updated
08/05/2024
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