Organization
BRUCE D BULLOCK, MD PC
Active
Parent organization
BRUCE D BULLOCK, MD PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRUCE D BULLOCK, MD PC
Authorized official
MRS. ANN M HUGHES (PRACTICE MANAGER)
(802) 772-1989
Entity
Organization
Contact information
Practice address
8 COMMONS ST, RUTLAND, VT 05701-4651
(802) 770-1805
(802) 773-4876
Mailing address
8 COMMONS ST, RUTLAND, VT 05701-4651
(802) 770-1805
(802) 773-4876
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042.0008555
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OVN0388
—
VT
Enumeration date
08/17/2017
Last updated
03/28/2023
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