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Individual

DR. WM JOHN BULLIS

Active
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Individual

DR. WM JOHN BULLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
60033065
WA
207VG0400X
Gynecology Physician
M-10613
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11941
BLUE CROSS BLUE SHIELD
01
160051634
MEDICARE RAILROAD
01
86806
MEDCOST
05
8911941
NC
01
9663436
GHI
01
FH1000860
FIRST CAROLINA CARE
05
N0044A
SC
Enumeration date
03/31/2006
Last updated
07/21/2011
Update your record

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