Organization
BRUENING FOOT AND ANKLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY JON BRUENING DPM (PRESIDENT)
(909) 957-6706
Entity
Organization
Contact information
Practice address
219 W BADILLO ST, A, COVINA, CA 91723-1907
(909) 957-6706
(626) 915-8779
Mailing address
219 W BADILLO ST, A, COVINA, CA 91723-1907
(909) 957-6706
(626) 915-8779
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730264698
PERSONAL NPI
—
Enumeration date
01/23/2009
Last updated
01/23/2009
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