# SUSAN BULEN MD PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023306735
- **Authorized official:** DR. SUSAN R BULEN MD (MEMBER)
- **Authorized official phone:** (520) 296-9399

## Contact information

- **Practice address:** 1921 W HOSPITAL DR, TUCSON, AZ 85704-7806
- **Practice address phone:** (520) 296-9399
- **Practice address fax:** (520) 296-9551
- **Mailing address:** PO BOX 36179, TUCSON, AZ 85740-6179
- **Mailing address phone:** (520) 722-0777
- **Mailing address fax:** (520) 290-9713

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | MD20625 | AZ | Yes |

## Other

- **Enumeration date:** 07/14/2011
- **Last updated:** 10/19/2011