Individual
RICHARD EA BRUNADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2073 OLYMPIC ST, SPRINGFIELD, OR 97477-3413
(541) 682-3550
Mailing address
2073 OLYMPIC ST, SPRINGFIELD, OR 97477-3413
(541) 682-3550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD28020
OR
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD28020
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006726
—
OR
Enumeration date
12/13/2005
Last updated
02/09/2022
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