Individual
BRUCE JORDAN BILLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9127 W RUSSELL RD STE 110, LAS VEGAS, NV 89148-1253
(725) 204-4632
Mailing address
PO BOX 840857, DALLAS, TX 75284-5842
(725) 204-4632
(702) 805-0307
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
831838
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/30/2020
Last updated
01/14/2021
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