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Mr. Jerry Lee Brungardt, BC-HIS
Specialist in Northglenn, Colorado
NPI 1992911648

Jerry Lee Brungardt is a Specialist based in Frederick, CO. Jerry Lee Brungardt practices in Northglenn, CO and has the professional credentials of BC-HIS. The NPI Number for Jerry Lee Brungardt is 1992911648 and holds a License No. 156 (Colorado).

The current practice location address for Jerry Lee Brungardt is 11654 Huron St, Northglenn, CO and can be reached out via phone at 303-255-9595.

Location: 11654 Huron St, Northglenn, CO, 80504-5546
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992911648
Provider Name
Jerry Lee Brungardt
Credential
BC-HIS
Provider Entity Type
Individual
Gender
Male
Address
11654 Huron St, Northglenn, CO, 80504-5546
Phone Number
303-255-9595
Fax Number
Provider Enumeration Date
05/16/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11654 Huron St
City
Northglenn
State
Colorado
Zip
80234-2921
Phone Number
303-255-9595
Fax Number
person
Provider Business Mailing Address Details
Address
11654 Huron St
City
Northglenn
State
Colorado
Zip
80234-2921
Phone Number
303-255-9595
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
156 (Colorado)
Definition
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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