Individual
ANDREW J BULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
940 N MARR RD, SUITE C, COLUMBUS, IN 47201-2610
(812) 376-9353
(812) 376-3757
Mailing address
2360 S 950 E, ZIONSVILLE, IN 46077-8680
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
10000859A
IN
Other
Enumeration date
07/15/2006
Last updated
07/05/2023
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