Daniel Carl Brunner, PA-C | |
1 Special Operations Medical Group, 113 Lielmanis Ave, Hurlburt Field Afb, FL 32544 | |
(850) 881-4674 | |
Not Available |
Full Name | Daniel Carl Brunner |
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Gender | Male |
Speciality | Physician Assistant - Medical |
Location | 1 Special Operations Medical Group, Hurlburt Field Afb, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437138344 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | PA9112351 (Florida) | Primary |
Mailing Address | Practice Location Address |
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Daniel Carl Brunner, PA-C 1 Somdg, 113 Lielmanis Ave, Hurlburt Field, FL 32544 Ph: (850) 881-4674 | Daniel Carl Brunner, PA-C 1 Special Operations Medical Group, 113 Lielmanis Ave, Hurlburt Field Afb, FL 32544 Ph: (850) 881-4674 |