Imelda S Bulatao MD

NPI 1114981602 - Pathology - 207ZD0900X

NPI Details
NPI 1114981602
Gender Female
Enumeration Date 04/13/2006
Last Updated 09/28/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2525 DESALES AVE
PATHOLOGY LABORATORY
CHATTANOOGA TN, 37404, US
Phone (423) 495-8703
Fax (423) 495-6175
Business Location
PO BOX 3637
ATTN JUDY H NOWLIN
CHATTANOOGA TN, 37404, US
Phone (423) 629-7688
Fax (423) 495-6175
Toxanomy
Taxonomy Code 207ZD0900X
License State Minnesota
License Number 35906
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According to our database, Imelda S Bulatao MD NPI is 1114981602, taxonomy code is 207ZD0900X and license number is 35906, license state is located at Minnesota. Imelda S Bulatao MD physically located at 2525 Desales Ave, Chattanooga TN, 37404. NPI Number Imelda S Bulatao MD has the Individual type.

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1114981602 NPI number is provided on an as is basis without warranty of any kind. 1114981602 is maintained by the National Plan & Provider Enumeration System. The contents of Imelda S Bulatao MD are for informational purposes only.