Individual
BRIAN BULLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-3600
Mailing address
99 EAST RIVER DRIVE, 5TH FLOOR, EAST, CT 06108-7301
(860) 679-3600
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
000092
CT
Other
Enumeration date
05/19/2006
Last updated
04/16/2021
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