DR. Jerry Jay Bullough, D.C.

NPI #1558360198 in Layton, Utah

Provider Information

NPI Number
1558360198
Entity Type
Individual
Name
DR. Jerry Jay Bullough, D.C.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Chiropractor
Credential
D.C.
Enumeration Date
Jul 15, 2005
Last Updated
Oct 28, 2008

Practice Location

Address
360 S FORT LN
Address 2
STE 102
City
Layton
State
Utah
ZIP Code
84041-4259
Phone
(801) 546-3731

Specialties & Taxonomy Codes

Specialty
Chiropractor

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