Search › Idaho › 367500000X
Brian Bullock, CRNA
NPI 1548600745 · on the registry since 2013 · sole proprietor
Practice
- Address
- 415 6th St
Lewiston, ID 83501 - Phone
- (239) 896-3934
- Organisation at this address
- Michael Kos Md, Ps
St Joseph Snf Unit
St Joseph Hospital Llc
Valley Anesthesia, P.A.
Phoenix Radiology, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 107
Additional practice sites
- 131 Medical Park Rd, Mooresville, NC
- 170 N 1100 E, American Fork, UT
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 367500000X
367500000X - Licence states on file
- NC, ID, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho