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ROGER S. BRUNT, M.D., P.A.

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Company Details

Name: ROGER S. BRUNT, M.D., P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 30 Dec 1980 (45 years ago)
Financial Date End: 31 Dec 2011
Date dissolved: 12 Mar 2012
Entity Number: 207744
Place of Formation: IDAHO
File Number: 0000207744
ZIP code: 83401
County: Bonneville County
Mailing Address: 2340 VIRLOW IDAHO FALLS, ID 83401

National Provider Identifier

NPI Number:
1922287226

Authorized Person:

Name:
DR. ROGER STEVENSON BRUNT
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0001750883 2010-10-25
Annual Report 0001750876 2009-10-27
Annual Report 0001750881 2008-10-22
Annual Report 0001750880 2007-11-01
Annual Report 0001750879 2007-01-10

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State