Brock Minor, | |
433 W High St, Bryan, OH 43506-1690 | |
(419) 636-1131 | |
(419) 636-3100 |
Full Name | Brock Minor |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 433 W High St, Bryan, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245968320 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.0020602 (Ohio) | Primary |
163WC0200X | Registered Nurse - Critical Care Medicine | RN.452752 (Ohio) | Secondary |
Entity Name | Clinical Colleagues Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992725766 PECOS PAC ID: 8729011333 Enrollment ID: O20070517000377 |
Mailing Address | Practice Location Address |
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Brock Minor, 433 W High St, Bryan, OH 43506-1690 Ph: (419) 636-1131 | Brock Minor, 433 W High St, Bryan, OH 43506-1690 Ph: (419) 636-1131 |
Caitlin Nicole Armstrong, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 433 W High St, Bryan, OH 43506 Phone: 419-636-1131 | |
Mr. Larry Michael Pickett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 433 W High St, Bryan, OH 43506 Phone: 419-636-1131 Fax: 419-636-3100 | |
Steve Schultz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 433 W High St, Bryan, OH 43506 Phone: 419-636-1131 Fax: 419-636-3100 | |
Amelia Julio, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 433 W High St, Bryan, OH 43506 Phone: 419-636-1131 | |
Megan P Fillman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 433 W High St, Bryan, OH 43506 Phone: 419-636-1131 Fax: 419-636-3100 |