Individual
EDWIN PETER BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCO, BADO
Contact information
Practice address
4606 S GARNETT RD STE 302, TULSA, OK 74146-5218
(918) 664-6544
(918) 664-0668
Mailing address
4606 S GARNETT RD STE 302, TULSA, OK 74146-5218
(918) 664-6544
(918) 664-0668
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
—
—
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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