1629182449

Everything you always wanted to know about BRUNNER J ALEXANDER M.D. but were afraid to ask.

BRUNNER J ALEXANDER M.D.

You can also download the this 1629182449 data report as csv | excel | json | xml
Provider Last Name Provider Middle Name Provider First Name Provider Credential
BRUNNER J ALEXANDER M.D.
Gender:
Male
Enumeration date:
2006-08-18
Last update date:
2010-11-15
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state
40245 Other MEDICAL LICENSE# TN
5440828 Medicaid none TN
083121 Other BOARD CERTIFICATION # TN

Taxonomies

Taxonomy State License Number Primary?
208000000X Pediatrics TN 40245 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 6157900567
Practice Location Address Telephone Number 6157900567
Mailing Address Fax Number 6155958030
Practice Location Address Fax Number 6155958030

Addresses

Type Address City State Postal Country
Mailing Address 1113 MURFREESBORO RD SUITE 319 FRANKLIN TN 37064 TN
Practice Location Address 1113 MURFREESBORO RD SUITE 319 FRANKLIN TN 37064 TN

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