DR. Paige Marie Bullock

NPI #1639451719 in Bryant, Arkansas

Provider Information

NPI Number: 1639451719
Entity Type: Individual
Name: DR. Paige Marie Bullock
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Sep 14, 2011
Last Updated: Sep 14, 2011

Practice Location

Address: 3231 MAIN ST STE 3
City: Bryant
State: Arkansas
ZIP Code: 72022-9201
Phone: (870) 847-0500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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