Individual
MR. DAVID WRISLEY BULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1151 ROBESON ST, FALL RIVER, MA 02720-5565
(508) 973-2211
(508) 973-9885
Mailing address
200 MILL RD STE 180, FAIRHAVEN, MA 02719-5255
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
78896
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3125041
—
MA
Enumeration date
07/23/2006
Last updated
10/01/2020
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