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NPI Code Detail

MEDICARE: HUGO BRUNO JAY DC

MEDICARE: HUGO BRUNO JAY DC
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
1111N00000XChiropractor61160197WA

General Provider Information

NPI Number : 1427623644
Entity Type Code : Individual
Provider Name (Legal Business Name) : HUGO BRUNO JAY DC
Provider Business Mailing Address
First Line : 1800 SE MILE HILL DR STE 150
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98366-3517
Country : US
Telephone Number : 360-874-0232
Fax Number :
Provider Business Practice Location Address
First Line : 1800 SE MILE HILL DR STE 150
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98366-3517
Country : US
Telephone Number : 360-874-0232
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2021
Last Update Date : 05/20/2021

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Directions to “ HUGO BRUNO JAY DC” Practice Location

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