Organization
TRINITY PROCARE
Active
Parent organization
TRINITY PROCARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRINITY PROCARE
Authorized official
DR. JASON COREY BULLARD M.D. (PRESIDENT)
(928) 273-7501
Entity
Organization
Contact information
Practice address
6930 N POLARIS PL, TUCSON, AZ 85741-2435
(928) 273-7501
Mailing address
2752 S STEWART AVE, SPRINGFIELD, MO 65804-3859
(602) 531-1658
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
102091
CA
175L00000X
Homeopath
102091
CA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
H-102091
CA
251E00000X
Home Health Agency
102091
CA
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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