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1356450449
ROGER S. BRUNT
IDAHO FALLS, ID
NPI
1356450449
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M3281)
Enumeration Date
2006-08-30
Last Update Date
2012-06-12
Business Address
Dr. ROGER S. BRUNT M.D.
2340 VIRLOW ST
IDAHO FALLS, ID 83401-3323
Phone number: 208-523-2340
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Mailing Address
Dr. ROGER S. BRUNT M.D.
2340 VIRLOW ST
IDAHO FALLS, ID 83401-3323
Phone number: 208-523-2340
Copy
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