Brian Lorin Bullock, CRNA

NPI #1548600745 in Lewiston, Idaho

Provider Information

NPI Number
1548600745
Entity Type
Individual
Name
Brian Lorin Bullock, CRNA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Jul 2, 2013
Last Updated
Nov 15, 2021

Practice Location

Address
415 6TH ST
State
Idaho
ZIP Code
83501-2431
Phone
(239) 896-3934

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

Additional Practice Locations

131 Medical Park Rd

SUITE 308

Mooresville, NC, 28117-8522

(704) 662-0876

170 N 1100 E

American Fork, UT, 84003-2096

(239) 896-3934

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