KEITH MAXWELL BULL

FARMINGTON, NM
NPI1851751432
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NE  101335)
Enumeration Date2016-02-25
Last Update Date2017-04-27
Business Address
-- KEITH MAXWELL BULL CRNA
2300 E 30TH ST BUILDING A
FARMINGTON, NM 87401-8990
Phone number: 505-326-6400
Mailing Address
-- KEITH MAXWELL BULL CRNA
1515 E 20TH ST SUITE A
FARMINGTON, NM 87401-9039
Phone number: 505-326-6400
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