NPI 1114660768

Ryan Taylor Brunson, DO

Practitioner Aerospace Medicine Physician Apo, AE

Practice location

Address: 48 Mdg / Raf Lakenheath Unit 5115, Apo, AE 09461
Phone: (314) 226-8017

Registered specialties

Aerospace Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083A0100X Licence DR0072172 (CO)

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Registry record

NPI: 1114660768
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Apr 2022
Record last updated: 10 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.