Search › New Mexico › 101Y00000X
Jonathan Brunk
NPI 1215273305 · on the registry since 2012
Practice
- Address
- 1621 Sutter Place
Clovis, NM 88101 - Phone
- (575) 935-2345
- Fax
- (575) 742-3182
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 101Y00000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico