Individual
SCOTT JAY BULLARD
Active
Individual
SCOTT JAY BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
00026615
AL
207L00000X
Anesthesiology Physician
Primary
ME73700
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
00026615
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41880
BCBS
FL
Enumeration date
02/22/2006
Last updated
12/19/2007
Update your record
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