Jack Casteel Bruner II, MD

NPI #1982607669 in Cottonwood, Idaho

Provider Information

NPI Number: 1982607669
Entity Type: Individual
Name: Jack Casteel Bruner II, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: May 24, 2005
Last Updated: Aug 6, 2021

Practice Location

Address: 701 LEWISTON ST
City: Cottonwood
State: Idaho
ZIP Code: 83522-9750
Phone: (208) 962-3267

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X
Family Medicine	207Q00000X	Primary

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