MS. LISA JO BRUNER ARDMS
NPI 1588319438
Radiology - Diagnostic Ultrasound in Camp Verde, AZ
Active since February 18, 2022
About Ms. Lisa Jo Bruner Ardms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. LISA JO BRUNER ARDMS (NPI 1588319438) is an individual diagnostic ultrasound provider in Camp Verde, Arizona, licensed in Arizona (191137) and active in the NPI registry since February 2022.
NPPES Registry Identity
NPI1588319438
Entity TypeIndividualFemale
Primary Taxonomy2085U0001X
Provider Legal NameMS. LISA JO BRUNERCredential: ARDMS
Location Address2487 N ARTURO CIR WCamp Verde, AZ 86322-7955
Mailing Address2487 N Arturo Cir WCamp Verde, AZ 86322-7955 · (928) 800-1640
Phone(928) 800-1640
Sole ProprietorYes
Enumeration DateFebruary 18, 2022
NPPES CertifiedFebruary 18, 2022
✔ NPI 1588319438 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRadiology · Diagnostic UltrasoundAllopathic & Osteopathic Physicians
Taxonomy Code2085U0001X
License✔ Licensed in AZ · 191137
Definition
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
2487 N ARTURO CIR W, Camp Verde, AZ 86322
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588319438, enumerated as an "individual" on February 18, 2022.
The provider is located at 2487 N ARTURO CIR W CAMP VERDE, AZ 86322 and the phone number is (928) 800-1640.
Radiology with taxonomy code 2085U0001X and a focus in Diagnostic Ultrasound.