Carson Matthew Bruner

NPI #1063107183 in Coldwater, Ohio

Provider Information

NPI Number: 1063107183
Entity Type: Individual
Name: Carson Matthew Bruner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Enumeration Date: Apr 5, 2023
Last Updated: Jul 17, 2023

Practice Location

Address: 201 S 2ND ST
City: Coldwater
State: Ohio
ZIP Code: 45828-1747
Phone: (937) 417-4581

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Optometrist	152W00000X	Primary

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