Individual
MR. WILLIAM JENNISON BULKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 W KINGSHIGHWAY, STE 3, PARAGOULD, AR 72450-4141
(870) 240-8020
(870) 240-8028
Mailing address
PO BOX 579, 1000 W KINGS HWY STE 3, PARAGOULD, AR 72451-0579
(870) 240-8020
(870) 240-8028
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
110242
MO
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
E1362
AR
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
K6995
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131703001
—
AR
Enumeration date
09/07/2005
Last updated
10/09/2013
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