Search › Idaho › 207Q00000X
Clarence Brunson, MD
NPI 1851556229 · on the registry since 2008
Practice
- Address
- 132 5th Ave W Ste 1and2
Jerome, ID 83338 - Phone
- (208) 814-9800
- Fax
- (208) 933-9648
- Clinicians at this address
- 21
Additional practice sites
- 701 Lewiston St, Cottonwood, ID
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
208600000X
111N00000X - Licence states on file
- ID, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-06
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 Idaho