JACK BRUNER II, MD

Family Medicine

Active Individual
NPI: 1982607669

Practice Address

701 LEWISTON ST
Cottonwood, ID 83522

Phone: (208) 962-3267

Specialties

Specialty Code Primary License
Surgery 208600000X No M6055 (ID)
Family Medicine 207Q00000X Yes M6055 (ID)

Frequently Asked Questions

NPI 1982607669 is the National Provider Identifier for JACK BRUNER II, MD, a Family Medicine provider located in Cottonwood, ID. This NPI was enumerated on May 24, 2005.
JACK BRUNER II, MD practices at 701 LEWISTON ST, Cottonwood, ID 83522.

Quick Facts

NPI
1982607669
Type
Individual
Enumerated
May 24, 2005
Last Updated
Aug 6, 2021

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