| Doctor Name: | MRS. TARA L BRUNER |
| NPI Number: | 1013082205 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A.-C |
| License Number: | PA1498 |
| Business Practice Address: | 205 East Race Avenue Searcy, AR - 721434329 |
| Business Phone Number: | 5012799000 |
| Business Fax Number: | 5012799011 |
| Mailing Address: | 212 Indian Trl, SEARCY |
| State: | AR |
| Postal Code: | 721435922 |
| Phone Number: | 4056508354 |
| Fax Number: | |
| NPI Enumeration Date: | 11/22/2006 |
| NPI Last Update Date: | 01/08/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA1498 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |