Individual
JENNIFER ZANE BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
170 NORTHWOODS BLVD STE 120, COLUMBUS, OH 43235-4711
(614) 635-9606
Mailing address
PO BOX 933377, CLEVELAND, OH 44193-0038
(614) 635-9606
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
35-08-2026
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2632628
—
OH
Enumeration date
06/01/2006
Last updated
01/20/2021
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