Individual
HUNTER BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MLS(ASCP)
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
4200 N SEASONS VIEW DR APT O2122, LEHI, UT 84043-6272
(806) 282-6596
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
25627587
TX
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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