Michelle S Bullard, B.C.O

NPI #1992956361 in Tulsa, Oklahoma

Provider Information

NPI Number: 1992956361
Entity Type: Individual
Name: Michelle S Bullard, B.C.O
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: B.C.O
Enumeration Date: Oct 3, 2008
Last Updated: Oct 3, 2008

Practice Location

Address: 4606 S GARNETT RD STE 302
City: Tulsa
State: Oklahoma
ZIP Code: 74146-5218
Phone: (918) 664-6544

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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