BRADFORD CLINTON BUDDENBERG

CHARLESTON, WV
NPI1972805802
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WV  66365)
Enumeration Date2010-11-29
Last Update Date2010-11-29
Business Address
Mr. BRADFORD CLINTON BUDDENBERG CRNA
2215 SMITH RD
CHARLESTON, WV 25314-2110
Phone number: 304-346-7313
Mailing Address
Mr. BRADFORD CLINTON BUDDENBERG CRNA
520 HAYES ST
MORGANTOWN, WV 26501-6812
Phone number: 304-228-5040