Bunting-Blake, Gerald Frank

Bunting-Blake, Gerald Frank is an sole proprietor health care provider with primary practice located at 5380 E Kachina St , Davis Monthan A F B AZ 85707-4923. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Bunting-Blake, Gerald Frank can be contacted via phone (520) 228-4926.

Contact Information

Primary practice address
5380 E Kachina St Davis Monthan A F B AZ 85707-4923
Phone: (520) 228-4926
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 31378 Arizona
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 13051 Nebraska
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 31378 Arizona
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 13051 Nebraska

Profile Details

NPI number 1417934662
LBN Legal business name Bunting-Blake, Gerald Frank
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2005
Last updated Nov 15th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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