Individual
ROBERT BRUCE PETERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
400 N EDWARDS ST, ENTERPRISE, AL 36330-2510
(334) 347-0584
Mailing address
3643 OAK RIDGE LN, DOTHAN, AL 36303-8303
(334) 794-7705
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-055052
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-22615
BCBS-AL
AL
Enumeration date
01/09/2008
Last updated
03/27/2010
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