Provider Demographics
NPI:1336371038
Name:BRUNO, GREG P (CPED, CO)
Entity type:Individual
Prefix:MR
First Name:GREG
Middle Name:P
Last Name:BRUNO
Suffix:
Gender:M
Credentials:CPED, CO
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:EAST 212 CENTRAL AVE SUITE 215
Mailing Address - Street 2:HANGER CLINIC
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208
Mailing Address - Country:US
Mailing Address - Phone:509-326-6401
Mailing Address - Fax:509-325-5986
Practice Address - Street 1:EAST 212 CENTRAL AVE SUITE 215
Practice Address - Street 2:HANGER CLINIC
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208
Practice Address - Country:US
Practice Address - Phone:509-326-6401
Practice Address - Fax:509-325-5986
Is Sole Proprietor?:No
Enumeration Date:2009-08-13
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224L00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPedorthist