Brian Wade Brunck in Liberty Lake - Surgical
Brian Wade Brunck - NPI 1184723082
Brian Wade Brunck is a Surgical in Liberty Lake, Washington. Brian Wade Brunck practices all healthcare services and medical treatments related to Surgical. The NPI Number for Brian Wade Brunck is 1184723082. The last update date is 2021-04-27.
Brian Wade Brunck's current location address is Po Box 421, Liberty Lake, Washington. You can contact this provider via phone number 8667472455. The mailing address for Brian Wade Brunck is Po Box 421, Liberty Lake, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Wade Brunck |
|---|---|
| Address | Po Box 421, Liberty Lake, Washington |
| Phone Number | 8667472455 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A.-C. |
NPI Number Detail
| NPI Number | 1184723082 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2021-04-27 |
Provider Mailing Address Detail
| Address | Po Box 421 |
|---|---|
| City | Liberty Lake |
| State | Washington (WA) |
| Post Code | 990190421 |
| Phone Number | 8667472455 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA10005071 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8466344 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Brian Wade Brunck by the Centers for Medicare & Medicaid Services?
The Brian Wade Brunck has been assigned the NPI (National Provider Identifier) 1184723082 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Brian Wade Brunck?
The Brian Wade Brunck is physically situated at Po Box 421, in the city of Liberty Lake, state of WA, with the postal code 990190421.
What is Brian Wade Brunck's area of expertise and its corresponding taxonomy classification?
The Brian Wade Brunck's field of specialization is Surgical, and it falls under the taxonomy code 363As0400X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1184723082 assigned to Brian Wade Brunck?
The Brian Wade Brunck was issued its 1184723082 on 2006-09-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Brian Wade Brunck, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brian Wade Brunck, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-04-27.