Individual
BRIAN DUCLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 HOWARD AVE, 7TH FLOOR, ALTOONA, PA 16601-4804
(814) 943-5901
Mailing address
1701 12TH AVE, SUITE G2, ALTOONA, PA 16601-3100
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN504290L
PA
Other
Enumeration date
07/20/2006
Last updated
05/24/2021
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