Ruth Brenner MD

NPI 1619079225 - Family Medicine - 207Q00000X

NPI Details
NPI 1619079225
Gender Female
Enumeration Date 09/03/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2200 BERGQUIST DR
SUITE 1, ATTN: CREDENTIALS (CMC)
LACKLAND A F B TX, 78236-9907, US
Phone (210) 292-6707
Fax
Business Location
419 HAPPY TRL
SHAVANO PARK TX, 78231-1440, US
Phone (301) 526-9909
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Indiana
License Number 01061245A
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According to our database, Ruth Brenner MD NPI is 1619079225, taxonomy code is 207Q00000X and license number is 01061245A, license state is located at Indiana. Ruth Brenner MD physically located at 2200 Bergquist Dr, Lackland A F B TX, 78236-9907. NPI Number Ruth Brenner MD has the Individual type.

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1619079225 NPI number is provided on an as is basis without warranty of any kind. 1619079225 is maintained by the National Plan & Provider Enumeration System. The contents of Ruth Brenner MD are for informational purposes only.