Individual
MRS. ANN BRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2108 35TH AVE STE A, GREELEY, CO 80634-3955
(970) 356-0100
(970) 356-0101
Mailing address
2108 35TH AVE STE A, GREELEY, CO 80634-3955
(970) 356-0100
(970) 356-0101
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0310600001
MEDICARE PROVIDER #
CO
Enumeration date
02/22/2007
Last updated
07/08/2007
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