BRETT WALLACE BULLOCH

VERNAL, UT
NPI1104055821
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: UT  4928514-4406)
Enumeration Date2009-07-02
Last Update Date2009-07-02
Business Address
Mr. BRETT WALLACE BULLOCH CRNA
151 W 200 N
VERNAL, UT 84078-1908
Phone number: 435-789-3342
Mailing Address
Mr. BRETT WALLACE BULLOCH CRNA
224 E 500 S UNIT B
VERNAL, UT 84078-3252
Phone number: 435-789-5250
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