PAUL T BRUNGARDT

SAINT JOSEPH, MO
NPI1386107936
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208M00000X Hospitalist
(Licence: MO  2022034945)
Additional Taxonomies207R00000X Internal Medicine
(Licence: MO  2022034945)
Enumeration Date2019-04-10
Last Update Date2024-10-09
Business Address
PAUL T BRUNGARDT
5325 FARAON ST
SAINT JOSEPH, MO 64506-3488
Phone number: 816-271-6406
Mailing Address
PAUL T BRUNGARDT
5301 FARAON ST STE 120
SAINT JOSEPH, MO 64506-3512
Phone number: 816-271-6406