Individual provider · NPI-1

Dr. Roger M Bruning, M.D.

Family Medicine · Shawnee Mission, KS

NPI number1306938477
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1306938477
Entity type
Individual (NPI-1)
Name
Dr. Roger M Bruning
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Sep 28, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine04-18080KSYes

Practice location

7301 E Frontage Rd
Suite 100
Shawnee Mission, KS 66204-1654

Phone 913-384-4040 · Fax 913-384-4093

Mailing address

Po Box 931288
Kansas City, MO 64193-0001

Phone 913-789-4155

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