ROGER S. BRUNT M.D. P.A.
Ambulatory Health at 17 St, Idaho Falls, ID

License number
Idaho M3281
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. ROGER STEVENSON BRUNT M.D.
Title: PRESIDENT
Phone: (208) 201-3737
Address
Address
1995 E 17Th St, Idaho Falls, ID 83404
National Provider ID: 1922287226
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about ROGER S. BRUNT M.D. P.A. at bizstanding.com

ROGER S. BRUNT, M.D., PA

2340 Virlow, Idaho Falls, ID 83401

Status:
Inactive
Registration:
Dec 30, 1980
Inactive since:
Mar 12, 2012
Business type:
CORPORATION, PROFESSIONAL ASSOCIATION
Agent:
Roger Brunt,2340 Virlow, Idaho Falls, ID 83401 (Physical)

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