Provider Demographics
NPI:1457533697
Name:BRUNO, ZNAIDE (DC)
Entity Type:Individual
Prefix:DR
First Name:ZNAIDE
Middle Name:
Last Name:BRUNO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:NAIDE
Other - Middle Name:
Other - Last Name:BRUNO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:6027 E QUAIL TRACK DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85266-8707
Mailing Address - Country:US
Mailing Address - Phone:602-568-7026
Mailing Address - Fax:480-513-1420
Practice Address - Street 1:6027 E QUAIL TRACK DR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85266-8707
Practice Address - Country:US
Practice Address - Phone:602-568-7026
Practice Address - Fax:480-513-1420
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-29
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5222111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ24034Medicare PIN