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Individual

DR. JONATHAN J BRUNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 HIGHWAY 16 E, CARTHAGE, MS 39051-4222
(601) 267-1470
(601) 267-1469
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-3255
(901) 227-8591

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
19353
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07150851
MS
Enumeration date
07/03/2006
Last updated
03/17/2018
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