KEITH A BULLER

LAKE CHARLES, LA
NPI1730197211
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  PA.200007.rx)
Enumeration Date2006-08-03
Last Update Date2013-01-04
Business Address
-- KEITH A BULLER P.A.
1701 OAK PARK BLVD
LAKE CHARLES, LA 70601-8911
Phone number: 337-494-3000
Mailing Address
-- KEITH A BULLER P.A.
1701 OAK PARK BLVD
LAKE CHARLES, LA 70601-8911
Phone number: 337-494-3000
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