Individual provider · NPI-1

Susan F. Brunner, M.D.

Internal Medicine · Jasper, AL

NPI number1508959131
StatusActive
Last updated in NPPESApr 23, 2010

Details

NPI
1508959131
Entity type
Individual (NPI-1)
Name
Susan F. Brunner
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Oct 2, 2006
Last updated
Apr 23, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine20106ALYes

Practice location

3400 Highway 78 E
Jasper, AL 35501-8907

Phone 205-387-4401 · Fax 205-387-4717

Mailing address

3400 Highway 78 E
Jasper, AL 35501-8907

Phone 205-387-4401 · Fax 205-387-4717

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