Jack C. Bruner, MD
Family Medicine · Cottonwood, ID
UnclaimedMDNPI 1982607669
- Primary taxonomy
- 207Q00000X
- Enumerated
- 2005-05-24
- Practice location
- Cottonwood, ID
- Last NPPES update
- 2021-08-06
State licenses
- ID · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.