Individual
DR. WILLIAM ROBERT BUNGARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
853 N CHURCH ST, SUITE 401, SPARTANBURG, SC 29303-3098
(864) 560-6287
(864) 560-7091
Mailing address
PO BOX 2168, SPARTANBURG, SC 29304-2168
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
27913
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279139
—
SC
Enumeration date
04/25/2006
Last updated
08/17/2011
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