Clayton Matthew Bullock MD, PHD

NPI 1891983748 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1891983748
Gender Male
Enumeration Date 10/04/2007
Last Updated 02/13/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
1152 N POINSETTIA PLACE #7
WEST HOLLYWOOD CA, 90046, US
Phone (323) 632-8144
Fax (323) 632-8144
Business Location
1152 N POINSETTIA PL APT 7
WEST HOLLYWOOD CA, 90046-5797, US
Phone (323) 632-8144
Fax (323) 632-8144
Toxanomy
Taxonomy Code 2084P0800X
License State California
License Number A94641
Remove 1891983748 NPI Number
 

According to our database, Dr. Clayton Matthew Bullock MD, PHD NPI is 1891983748, taxonomy code is 2084P0800X and license number is A94641, license state is located at California. Clayton Matthew Bullock MD, PHD physically located at 1152 N Poinsettia Place #7, West Hollywood CA, 90046. NPI Number Clayton Matthew Bullock MD, PHD has the Individual type.

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1891983748 NPI number is provided on an as is basis without warranty of any kind. 1891983748 is maintained by the National Plan & Provider Enumeration System. The contents of Clayton Matthew Bullock MD, PHD are for informational purposes only.