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Contact Information

CORY R BRUNE, DO
3520 W EDGEWOOD DR
JEFFERSON CITY, MO65109-6902
 Phone: 573-556-7765
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for CORY R BRUNE · (Male)

NPI # 1376049510
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/05/2018
Last updated 06/20/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MO License # 2022015495
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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