Individual
DR. MARK ANDREW LESLIE BULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-7783
Mailing address
16210 S 17TH LN, PHOENIX, AZ 85045-1761
(780) 916-3852
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
R75762
AZ
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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