CHARLIE BRUNSON JR., MD

Internal Medicine - Interventional Cardiology

Active Individual
NPI: 1780639500

Practice Address

4403 HARRISON BLVD STE 3490
Ogden, UT 84403

Phone: (801) 387-2650

Specialties

Specialty Code Primary License
Internal Medicine - Cardiovascular Disease 207RC0000X No 7752036-1205 (UT)
Internal Medicine - Interventional Cardiology 207RI0011X Yes 7752036-1205 (UT)

Frequently Asked Questions

NPI 1780639500 is the National Provider Identifier for CHARLIE BRUNSON JR., MD, a Internal Medicine - Interventional Cardiology provider located in Ogden, UT. This NPI was enumerated on May 23, 2006.
CHARLIE BRUNSON JR., MD practices at 4403 HARRISON BLVD STE 3490, Ogden, UT 84403.

Quick Facts

NPI
1780639500
Type
Individual
Enumerated
May 23, 2006
Last Updated
Aug 17, 2022

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