Individual
DR. BRANCH RICKEY BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34 SW 89TH ST STE A, OKLAHOMA CITY, OK 73139-8510
(405) 488-0750
Mailing address
34 SW 89TH ST STE A, OKLAHOMA CITY, OK 73139-8510
(405) 488-0750
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
27386
OK
207Q00000X
Family Medicine Physician
Primary
27386
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07403062
—
CO
Enumeration date
01/09/2006
Last updated
10/18/2024
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