Organization
WILLIAM J BULKLEY M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM JENNISON BULKLEY M.D. (PHYSICAN - OWNER)
(870) 240-8020
Entity
Organization
Contact information
Practice address
1000 W KINGSHIGHWAY, STE # 3, PARAGOULD, AR 72450-4141
(870) 240-8020
(870) 240-8028
Mailing address
PO BOX 579, PARAGOULD, AR 72451-0579
(870) 240-8020
(870) 240-8028
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
207YS0012X
Sleep Medicine (Otolaryngology) Physician
—
—
207YX0602X
Otolaryngic Allergy Physician
—
—
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
—
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
—
—
208600000X
Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
231H00000X
Audiologist
A417
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131753002
—
AR
Enumeration date
02/01/2007
Last updated
10/30/2017
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