Individual
LEON BULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
127 ANDERSON ST, SUITE 101, PITTSBURGH, PA 15212-5803
(412) 322-4151
(844) 389-1405
Mailing address
127 ANDERSON ST, SUITE 101, PITTSBURGH, PA 15212-5803
(412) 322-4151
(844) 389-1405
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP017175
PA
Other
Enumeration date
03/03/2017
Last updated
03/03/2017
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