| Doctor Name: | RAYMOND E. BRUNO |
| NPI Number: | 1023182888 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RNCS |
| License Number: | 130675 |
| Business Practice Address: | 120 W 16th St Mountain Grove, MO - 657111039 |
| Business Phone Number: | 4179266111 |
| Business Fax Number: | 4179266115 |
| Mailing Address: | Po Box 2580, SPRINGFIELD |
| State: | MO |
| Postal Code: | 658012580 |
| Phone Number: | 4178294620 |
| Fax Number: | 4178294316 |
| NPI Enumeration Date: | 11/20/2006 |
| NPI Last Update Date: | 07/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 130675 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |