Zachery M Brunson is a Medical in Rexburg, Idaho. Zachery M Brunson practices all healthcare services and medical treatments related to Medical. The NPI Number for Zachery M Brunson is 1447296785. The last update date is 2020-04-13.
Zachery M Brunson's current location address is 393 E 2nd N, Rexburg, Idaho. You can contact this provider via phone number 2083565401 and fax number 2083563111. The mailing address for Zachery M Brunson is 393 E 2nd N, Rexburg, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Zachery M Brunson |
|---|---|
| Address | 393 E 2nd N, Rexburg, Idaho |
| Phone Number | 2083565401 |
| Fax Number | 2083563111 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1447296785 |
|---|---|
| Provider Enumeration Date | 2006-06-22 |
| Last Updated Date | 2020-04-13 |
Provider Mailing Address Detail
| Address | 393 E 2nd N |
|---|---|
| City | Rexburg |
| State | Idaho (ID) |
| Post Code | 834401605 |
| Phone Number | 2083565401 |
| Fax Number | 2083563111 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA-607 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 807432900 | ID | -- |
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What is the unique 10-digit identifier code issued to Zachery M Brunson by the Centers for Medicare & Medicaid Services?
The Zachery M Brunson has been assigned the NPI (National Provider Identifier) 1447296785 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Zachery M Brunson located?
The Zachery M Brunson is located at 393 E 2Nd N, Rexburg, ID 834401605.
What is Zachery M Brunson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Zachery M Brunson is Medical, and the corresponding taxonomy classification code for this specialized field is 363Am0700X.
On what date did the Zachery M Brunson receive the assignment of its 1447296785 from the Centers for Medicare & Medicaid Services?
The Zachery M Brunson was issued its 1447296785 by the Centers for Medicare & Medicaid Services on 2006-06-22.
When was the Zachery M Brunson's information last updated?
The Zachery M Brunson's information was last updated on 2020-04-13.