Individual
ANDREW G. BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8631 W 3RD ST STE 635E, LOS ANGELES, CA 90048-5994
(310) 248-8245
Mailing address
3841 GREEN HILLS VILLAGE DR, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
68932
TN
207RC0000X
Cardiovascular Disease Physician
11751223-1205
UT
207RC0000X
Cardiovascular Disease Physician
Primary
A197442
CA
Other
Enumeration date
04/12/2017
Last updated
09/12/2024
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