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Individual

DR. BRANDON BLAINE BUNNAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1100 GOETHALS DRIVE 2ND FLOOR, KADLEC CLINIC GENERAL & COLORECTAL SURGERY, RICHLAND, WA 99352-3304
(509) 942-3185
(509) 946-1850
Mailing address
550 GAGE BLVD, STE 101, RICHLAND, WA 99352-9532
(509) 942-3627
(509) 627-2983

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5101016461
MI
208600000X
Surgery Physician
Primary
OP60119141
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0261833
LABOR & INDUSTRIES
WA
Enumeration date
03/14/2008
Last updated
04/16/2021
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