Individual
MAX BLANE BULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
BAPITIST MEDICAL CENTER SOUTH,2105 EAST SOUTH BOULEVARD, MONTGOMERY, AL 38111-0010
(334) 288-2100
Mailing address
144 CANTER WAY, ALABASTER, AL 35007-7610
(205) 621-5240
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-054439
AL
Other
Enumeration date
01/30/2007
Last updated
10/15/2012
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