Jonathan Fain Bullman, PA

NPI #1396795621 in Milton, Florida

Provider Information

NPI Number: 1396795621
Entity Type: Individual
Name: Jonathan Fain Bullman, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: May 10, 2006
Last Updated: Mar 25, 2014

Practice Location

Address: 6002 BERRYHILL ROAD
Address 2: SANTA ROSA MEDICAL CENTER
City: Milton
State: Florida
ZIP Code: 32570
Phone: (850) 626-5130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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