Shay Bullock, NP-C
NPI #1366101743 in Fort Hall, Idaho
Provider Information
- NPI Number
- 1366101743
- Entity Type
- Individual
- Name
- Shay Bullock, NP-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- NP-C
- Enumeration Date
- Dec 13, 2021
- Last Updated
- Jul 20, 2022
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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