Individual
DR. JOSEPH D. BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8080 RAVINES EDGE CT, COLUMBUS, OH 43235-5424
(614) 846-5944
(614) 846-6504
Mailing address
8080 RAVINES EDGE CT, COLUMBUS, OH 43235-5424
(614) 846-5944
(614) 846-6504
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
35-03-0076
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105586
—
OH
Enumeration date
01/23/2006
Last updated
11/15/2007
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