BRIAN BULLOCK, CRNA

Nurse Anesthetist, Certified Registered

Active Individual
NPI: 1548600745

Practice Address

415 6TH ST
Lewiston, ID 83501

Phone: (239) 896-3934

Specialties

Specialty Code Primary License
Nurse Anesthetist, Certified Registered 367500000X Yes 6631838-4406 (UT)

Frequently Asked Questions

NPI 1548600745 is the National Provider Identifier for BRIAN BULLOCK, CRNA, a Nurse Anesthetist, Certified Registered provider located in Lewiston, ID. This NPI was enumerated on July 2, 2013.
BRIAN BULLOCK, CRNA practices at 415 6TH ST, Lewiston, ID 83501.

Quick Facts

NPI
1548600745
Type
Individual
Enumerated
Jul 2, 2013
Last Updated
Nov 15, 2021

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