Individual
DR. THOMAS BLAKE VAN BRUNT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-3949
Mailing address
PO BOX 63038, MCBH KANEOHE BAY, HI 96863-3038
(808) 496-4478
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102203931
VA
Other
Enumeration date
05/18/2013
Last updated
11/01/2024
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