Individual
MR. BRETT WALLACE BULLOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
754 S MAIN ST STE 5, ST GEORGE, UT 84770-5519
(435) 652-1445
Mailing address
1698 S 1000 E, ST GEORGE, UT 84790-2271
(435) 219-2100
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4928514-4406
UT
Other
Enumeration date
07/02/2009
Last updated
08/22/2024
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