Michelle Sullivan Bruzatori, PA-C

NPI #1306205885 in Cabot, Arkansas

Provider Information

NPI Number: 1306205885
Entity Type: Individual
Name: Michelle Sullivan Bruzatori, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 12, 2016
Last Updated: Apr 12, 2016

Practice Location

Address: 2037 W MAIN ST
City: Cabot
State: Arkansas
ZIP Code: 72023-7479
Phone: (501) 843-4555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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