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Charlie Ed Brunson JR., MD
Interventional Cardiology Physician in Ogden, Utah
NPI 1780639500

Charlie Ed Brunson JR. is a Interventional Cardiology Physician based in Salt Lake City, UT and is specialized in Interventional Cardiology. Charlie Ed Brunson JR. practices in Ogden, UT and has the professional credentials of MD. The NPI Number for Charlie Ed Brunson JR. is 1780639500 and holds a License No. 44477 (Utah).

The current practice location address for Charlie Ed Brunson JR. is 4403 Harrison Blvd Ste 3490, Ogden, UT and can be reached out via phone at 801-387-2650. You can also correspond with Charlie Ed Brunson JR. through the mailing address at PO BOX 27128, SALT LAKE CITY, UT - 84127-0128 (mailing address contact number: 801-387-2650).

Location: 4403 Harrison Blvd Ste 3490, Ogden, UT, 84127-0128
person
Provider Profile Details
NPI Number
1780639500
Provider Name
Charlie Ed Brunson JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4403 Harrison Blvd Ste 3490, Ogden, UT, 84127-0128
Phone Number
801-387-2650
Fax Number
Provider Enumeration Date
05/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
44477 01 CO STATE LICENSE
18603271 05 CO
institution
Provider Business Practice Location Address Details
Address
4403 Harrison Blvd Ste 3490
City
State
Zip
84403-3284
Phone Number
801-387-2650
Fax Number
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Provider Business Mailing Address Details
Address
Po Box 27128
City
State
Zip
84127-0128
Phone Number
801-387-2650
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
License No.
7752036-1205 (Utah)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Interventional Cardiology
Taxonomy
License No.
44477 (Colorado)
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
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