Healthcare Provider Details

I. General information

NPI: 1326099516
Provider Name (Legal Business Name): BRUCE A AKUNA DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2006
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3202 MCINTOSH CIR STE 301
JOPLIN MO
64804-3686
US

IV. Provider business mailing address

2613 S MAIN ST STE D
JOPLIN MO
64804-2678
US

V. Phone/Fax

Practice location:
  • Phone: 417-347-2909
  • Fax: 417-347-5546
Mailing address:
  • Phone: 417-553-7920
  • Fax: 877-464-5922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2007036013
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: