Individual provider · Type 1 NPI
Mark John Brungardt, NMT
Specialist · Lafayette, CO
NPI number
1427218528
Active
Practice location
1280 Centaur Village Dr Ste 8
Lafayette, CO 80026-1255
Mailing address
10581 W 105th Ave
Westminster, CO 80021-7326
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: 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.
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About NPI 1427218528
Mark John Brungardt, NMT's National Provider Identifier is 1427218528, issued on Jun 11, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lafayette, CO. The record was last updated on Jun 11, 2008.