DR. Jason Michael Bullock, D.C.

NPI #1124381421 in Chantilly, Virginia

Provider Information

NPI Number: 1124381421
Entity Type: Individual
Name: DR. Jason Michael Bullock, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Jun 21, 2012
Last Updated: Jun 12, 2014

Practice Location

Address: 4200A TECHNOLOGY CT
City: Chantilly
State: Virginia
ZIP Code: 20151-1214
Phone: (571) 528-9796

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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