Individual provider · NPI-1

Dr. Connor Thomas Bunting, Au.D.

Audiologist · Mission Viejo, CA

NPI number1326829771
StatusActive
Last updated in NPPESOct 11, 2023

Details

NPI
1326829771
Entity type
Individual (NPI-1)
Name
Dr. Connor Thomas Bunting
Credential
Au.D.
Sex
Male
Sole proprietor
No
Enumeration date
Oct 11, 2023
Certification date
Oct 11, 2023
Last updated
Oct 11, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
231H00000X Audiologist3836CAYes
231H00000X Audiologist147.001970IL

Practice location

26726 Crown Valley Pkwy
Mission Viejo, CA 92691-8002

Phone 949-276-4008

Mailing address

26726 Crown Valley Pkwy Ste 210
Mission Viejo, CA 92691-8006

Phone 949-276-4008

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