Individual
ERIC ROBERT BUELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(617) 662-3577
Mailing address
PO BOX 3870, SALT LAKE CITY, UT 84110-3870
(801) 662-3578
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
11225878-1205
UT
Other
Enumeration date
04/07/2014
Last updated
09/09/2019
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