Individual
JOHN BRYAN BRUNOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
208 E LINCOLN WAY, JEFFERSON, IA 50129
(515) 386-8900
(515) 805-2999
Mailing address
PO BOX 446, JEFFERSON, IA 50129-0446
(515) 386-8900
(515) 805-2999
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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