Danny Wayne Bullard

NPI #1700923778 in Tupelo, Oklahoma

Provider Information

NPI Number: 1700923778
Entity Type: Individual
Name: Danny Wayne Bullard
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Jan 31, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: RR 1 BOX 24
Address 2: 48 HIGHWAY
City: Tupelo
State: Oklahoma
ZIP Code: 74572-9706
Phone: (580) 927-5158

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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