Individual
ANTHONY B BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2635 N 7TH ST, GRAND JUNCTION, CO 81501-8209
(970) 241-9729
Mailing address
2530 N 8TH ST, #101, GRAND JUNCTION, CO 81501-8857
(970) 241-9729
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
44912
CO
2085R0202X
Diagnostic Radiology Physician
C1-0025098
DE
2085R0202X
Diagnostic Radiology Physician
Primary
T8401
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50324551
—
CO
Enumeration date
05/28/2006
Last updated
08/19/2024
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