MR. JERRY LEE BRUNGARDT BC-HIS NPI 1992911648

NPI Information

MR. Jerry Lee Brungardt, BC-HIS is a specialist in Northglenn, CO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MR. Jerry Lee Brungardt, BC-HIS NPI is 1992911648. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11654 HURON ST
NORTHGLENN, CO
ZIP 80234-921
Phone: (303) 255-9595

The enumeration date for this NPI number is 5/16/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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