Individual
DR. JACK G BRUNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 K ST STE 200, SACRAMENTO, CA 95816-5118
(916) 453-5958
(916) 733-8290
Mailing address
2801 K ST STE 200, SACRAMENTO, CA 95816-5118
(916) 453-5958
(916) 733-8290
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G9831
CA
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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