Roger S. Brunt MD PA
Roger S. Brunt MD PA is a Primary Care Clinic/Center in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2007.
- Licensed in
- ID
- In the registry since
- 2007
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1995 E 17th StIdaho Falls, ID 83404-6493
Phone: (208) 201-3737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence M3281 (ID) |
|---|
Record details
| NPI number | 1922287226 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Roger Brunt — President · (208) 201-3737 |
| NPI enumerated | November 2, 2007 |
| Last updated in NPPES | November 2, 2007 |
| Mailing address | 1995 E 17th St, Idaho Falls, ID 83404-6493 |
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