Individual
MRS. AMBER JO BUNTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10029 CELTIC ASH DR, RUSKIN, FL 33573-6730
(731) 695-7001
Mailing address
19727 STALLION DR, WAYNESVILLE, MO 65583-2139
(731) 695-7001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/20/2011
Last updated
12/17/2021
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