Glenn A Buller, CRNA
Nurse Anesthetist, Certified Registered in Piqua, OH. Individual provider (NPI-1).
NPI number1124056965
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1124056965
- Entity type
- Individual (NPI-1)
- Name
- Mr. Glenn A Buller
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN-177640 | OH | Yes |
Practice location
283 Looney RdPiqua, OH 45356-4147
Phone 888-738-2841
Mailing address
Po Box 2429Murrells Inlet, SC 29576-2429
Phone 843-651-2624
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