MR. Robert Lee Bullard, PAC

NPI #1952354755 in Tulsa, Oklahoma

Provider Information

NPI Number: 1952354755
Entity Type: Individual
Name: MR. Robert Lee Bullard, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: May 19, 2006
Last Updated: Dec 7, 2015

Practice Location

Address: 9320 S MINGO RD
City: Tulsa
State: Oklahoma
ZIP Code: 74133-5710
Phone: (918) 879-1700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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