Doctor Name: | DR. JANA R BRONFMAN |
NPI Number: | 1932356755 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | R4B52 |
Business Practice Address: | 9740 Nw Overhill Drive Parkville, MO - 641522654 |
Business Phone Number: | 8165876067 |
Business Fax Number: | |
Mailing Address: | 9740 Nw Overhill Drive, PARKVILLE |
State: | MO |
Postal Code: | 641522654 |
Phone Number: | 8165876067 |
Fax Number: | |
NPI Enumeration Date: | 08/22/2008 |
NPI Last Update Date: | 08/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | R4B52 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |