Individual
MR. DAVID R. BRUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
2222 N NEVADA AVE, STE 4007, COLORADO SPRINGS, CO 80907-6819
(719) 776-8500
(719) 634-1448
Mailing address
2222 N NEVADA AVE, STE 4007, COLORADO SPRINGS, CO 80907-6819
(719) 776-8500
(719) 634-1448
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
15-02426
KS
363AM0700X
Medical Physician Assistant
Primary
CO 1391
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO1391
LICENSE
CO
Enumeration date
10/05/2006
Last updated
08/18/2021
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