Individual
MR. ANDREW COLIN BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5575 RUFFIN RD, #100, SAN DIEGO, CA 92123-1380
(858) 492-5410
(858) 492-5411
Mailing address
PO BOX 33707, SAN DIEGO, CA 92163-3707
(858) 492-5410
(858) 492-5411
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20A6842
CA
Other
Enumeration date
08/04/2006
Last updated
03/29/2011
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