Provider Demographics
NPI:1740821545
Name:ASPEN WOMENS CENTER PLLC
Entity type:Organization
Organization Name:ASPEN WOMENS CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:BRUNNABEND
Authorized Official - Suffix:II
Authorized Official - Credentials:DO
Authorized Official - Phone:951-490-7953
Mailing Address - Street 1:13900 QUAILBROOK DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-1718
Mailing Address - Country:US
Mailing Address - Phone:405-422-9765
Mailing Address - Fax:405-422-9767
Practice Address - Street 1:13900 QUAILBROOK DR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73134-1718
Practice Address - Country:US
Practice Address - Phone:405-422-9765
Practice Address - Fax:405-422-9767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-02
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty