Individual
DR. DANIEL P BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
203 OLD MILITARY RD, LAKE PLACID, NY 12946-1738
(518) 523-1327
(518) 523-9964
Mailing address
203 OLD MILITARY RD, LAKE PLACID, NY 12946-1738
(518) 523-1327
(518) 523-9964
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
252452
NY
207X00000X
Orthopaedic Surgery Physician
46697
CO
Other
Enumeration date
09/02/2006
Last updated
03/30/2021
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