Individual
COREY MICHAL BRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
35 ALBANY RD STE C, CARBONDALE, IL 62903-7647
(618) 457-5111
Mailing address
2 GOOD SAMARITAN WAY STE 205, MOUNT VERNON, IL 62864-2476
(618) 899-3869
(618) 899-3558
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209013796
IL
Other
Enumeration date
02/01/2016
Last updated
11/16/2020
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