Individual
DR. BRUCE CLINTON BRUNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
0506 CHAIR BAR ROAD, SILT, CO 81652
(970) 618-8904
Mailing address
PO BOX 1080, SILT, CO 81652-1080
(970) 618-8904
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
38509
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38509
STATE LICENSE
CO
Enumeration date
05/20/2009
Last updated
05/20/2009
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