# WILLIAM J BULKLEY M D P A

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

## Provider details

- **NPI number:** 1427196807
- **Authorized official:** WILLIAM JENNISON BULKLEY M.D. (PHYSICAN - OWNER)
- **Authorized official phone:** (870) 240-8020

## Contact information

- **Practice address:** 1000 W KINGSHIGHWAY, STE \# 3, PARAGOULD, AR 72450-4141
- **Practice address phone:** (870) 240-8020
- **Practice address fax:** (870) 240-8028
- **Mailing address:** PO BOX 579, PARAGOULD, AR 72451-0579
- **Mailing address phone:** (870) 240-8020
- **Mailing address fax:** (870) 240-8028

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207KA0200X | Allergy Physician | — | NULL | — |
| 207KA0200X | Allergy Physician | — | — | — |
| 207Y00000X | Otolaryngology Physician | — | NULL | — |
| 207Y00000X | Otolaryngology Physician | — | — | — |
| 207YS0012X | Sleep Medicine (Otolaryngology) Physician | — | NULL | — |
| 207YS0012X | Sleep Medicine (Otolaryngology) Physician | — | — | — |
| 207YX0602X | Otolaryngic Allergy Physician | — | NULL | — |
| 207YX0602X | Otolaryngic Allergy Physician | — | — | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | NULL | Yes |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | — | Yes |
| 2082S0099X | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | — | NULL | — |
| 2082S0099X | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | — | NULL | — |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | — | — | — |
| 231H00000X | Audiologist | A417 | AR | — |

## Other

- **Enumeration date:** 02/01/2007
- **Last updated:** 10/30/2017