Search › Washington › 103T00000X
Troy Bruner, ED.D
NPI 1295905479 · on the registry since 2008
Practice
- Address
- 850 Maple Street
Medical Lake, WA 99022 - Phone
- (509) 565-4000
- Fax
- (509) 565-4705
- Organisation at this address
- Department Of Social Dept Of Shs Div Of Instns
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 29
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103TC0700X
103TC0700X - Licence states on file
- WA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-06-11
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 Washington