Individual
MR. BRADFORD CLINTON BUDDENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2215 SMITH RD, CHARLESTON, WV 25314-2110
(304) 346-7313
(304) 744-9802
Mailing address
520 HAYES ST, MORGANTOWN, WV 26501-6812
(304) 228-5040
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
66365
WV
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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