Individual
DEBRA BARNITA BULLARD-BERENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1111 SAN RAFAEL AVE NE, ALBUQUERQUE, NM 87122-1118
(505) 797-8633
(505) 797-8633
Mailing address
1111 SAN RAFAEL AVE NE, ALBUQUERQUE, NM 87122-1118
(505) 797-8633
(505) 797-8633
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301074829
MI
207L00000X
Anesthesiology Physician
A77947
CA
207L00000X
Anesthesiology Physician
Primary
MD2004-0684
NM
Other
Enumeration date
06/15/2006
Last updated
07/08/2007
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