Individual
THOMAS R. BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 MOUNT CARMEL MALL, SUITE 300, COLUMBUS, OH 43222-1553
(614) 224-6420
(614) 224-6423
Mailing address
750 MOUNT CARMEL MALL STE 300, COLUMBUS, OH 43222-1554
(614) 224-6420
(614) 224-6423
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35-045451
OH
Other
Enumeration date
01/05/2006
Last updated
10/09/2012
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