Tyrel J Bruneel, OD

NPI #1013575851 in Hayden, Idaho

Provider Information

NPI Number: 1013575851
Entity Type: Individual
Name: Tyrel J Bruneel, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 5, 2019
Last Updated: Jun 5, 2019

Practice Location

Address: 8445 N GOVERNMENT WAY
City: Hayden
State: Idaho
ZIP Code: 83835-9280
Phone: (208) 772-3208

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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