Individual provider · Type 1 NPI
Michael Ryan Brunson, MD
Pediatric Adolescent Medicine Physician · Apo, AP
NPI number
1114160215
Active
Practice location
35th Mdg, Unit 5024
Apo, AP 96319
Mailing address
4102 Pinion Drive, 10th Medical Group
Usaf Academy, CO 80840-2502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Pediatrics Physician | 208000000X | 26095 (NE) |
| Pediatric Adolescent Medicine Physician Primary | 2080A0000X | 26095 (NE) |
Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Another provider at this address
About NPI 1114160215
Michael Ryan Brunson, MD's National Provider Identifier is 1114160215, issued on Apr 20, 2009. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Apo, AP. The record was last updated on Jun 30, 2022.