Individual
DR. FORREST A BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5268 W BOWSTRING WAY, SOUTH JORDAN, UT 84009-6161
(307) 760-3869
Mailing address
5268 W BOWSTRING WAY, SOUTH JORDAN, UT 84009-6161
(307) 760-3869
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7575794-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8352718
—
WA
Enumeration date
12/09/2005
Last updated
12/14/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us