Doctor Name: | DR. STANLEY JON BUNAS |
NPI Number: | 1093862120 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD00020566 |
Business Practice Address: | 1515 116th Ave Ne Ste 307 Bellevue, WA - 980043811 |
Business Phone Number: | 4256888860 |
Business Fax Number: | 4256888850 |
Mailing Address: | 108 2nd Ave S Apt 306, KIRKLAND |
State: | WA |
Postal Code: | 980336584 |
Phone Number: | 4258910262 |
Fax Number: | 4256888850 |
NPI Enumeration Date: | 01/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD00020566 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy 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. |