Wm John Bullis MD

NPI 1063473841 - Obstetrics & Gynecology - 207VG0400X

NPI Details
NPI 1063473841
Gender Male
Enumeration Date 03/31/2006
Last Updated 07/21/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
8610 NE 17TH ST
CLYDE HILL WA, 98004-3241, US
Phone (509) 720-0691
Fax
Business Location
8610 NE 17TH ST
CLYDE HILL WA, 98004-3241, US
Phone (509) 720-0691
Fax
Toxanomy
Taxonomy Code 207VG0400X
License State Idaho
License Number M-10613
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According to our database, Dr. Wm John Bullis MD NPI is 1063473841, taxonomy code is 207VG0400X and license number is M-10613, license state is located at Idaho. Wm John Bullis MD physically located at 8610 Ne 17th St, Clyde Hill WA, 98004-3241. NPI Number Wm John Bullis MD has the Individual type.

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1063473841 NPI number is provided on an as is basis without warranty of any kind. 1063473841 is maintained by the National Plan & Provider Enumeration System. The contents of Wm John Bullis MD are for informational purposes only.