Individual provider · Type 1 NPI

Jerry Lee Brungardt, BC-HIS

Specialist · Northglenn, CO

NPI number 1992911648 Active

Practice location

11654 Huron St
Northglenn, CO 80234-2921

Call (303) 255-9595 Map

Mailing address

5115 Mt Buchanan Ave
Frederick, CO 80504-5546

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X156 (CO)

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 1992911648

Jerry Lee Brungardt, BC-HIS's National Provider Identifier is 1992911648, issued on May 16, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Northglenn, CO. The record was last updated on Jul 8, 2007.