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NPI Code Detail

MEDICARE: DR. DEBRA LYNNE BUNGER MD

MEDICARE: DR. DEBRA LYNNE BUNGER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianA049526CA

General Provider Information

NPI Number : 1023099975
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEBRA LYNNE BUNGER MD
Provider Business Mailing Address
First Line : 9055 SOQUEL DRIVE
Second Line : SUITE G
City : APTOS
State : CA
Zip : 95003-4039
Country : US
Telephone Number : 831-708-2919
Fax Number : 831-708-2937
Provider Business Practice Location Address
First Line : 1201 PLEASANT VALLEY RD
Second Line :
City : OWENSBORO
State : KY
Zip : 42303-9811
Country : US
Telephone Number : 270-417-7732
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2005
Last Update Date : 11/27/2023

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