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NPI Code Detail

MEDICARE: DR. J ERIC BRUNSWICK M.D.

MEDICARE: DR. J ERIC BRUNSWICK M.D.
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
1207P00000XEmergency Medicine PhysicianMD19341OR

General Provider Information

NPI Number : 1902864275
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. J ERIC BRUNSWICK M.D.
Provider Business Mailing Address
First Line : 3150 S 6TH ST
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97603-4612
Country : US
Telephone Number : 541-851-9008
Fax Number : 541-851-9114
Provider Business Practice Location Address
First Line : 3150 S 6TH ST
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97603-4612
Country : US
Telephone Number : 541-851-9008
Fax Number : 541-851-9114
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2006
Last Update Date : 08/15/2023

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