SAMUEL PAUL BRUNSON

FORT CAMPBELL, KY
NPI1477164655
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: SC  9639)
Enumeration Date2020-08-12
Last Update Date2020-08-12
Business Address
Dr. SAMUEL PAUL BRUNSON
2441 21ST ST
FORT CAMPBELL, KY 42223-5582
Phone number: 270-412-8545
Mailing Address
Dr. SAMUEL PAUL BRUNSON
2441 21ST ST
FORT CAMPBELL, KY 42223-5582
Phone number: 270-412-8545