Individual
JIMMY V BULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1509 MAIN ST, PARSONS, KS 67357-3332
(620) 423-3307
(620) 423-3329
Mailing address
1509 MAIN ST, PARSONS, KS 67357-3332
(620) 423-3307
(620) 423-3329
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0517965
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098500B
—
KS
05
—
100098500E
—
KS
01
—
9795
BCBS
KS
Enumeration date
07/07/2005
Last updated
01/04/2016
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