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Individual

EDGAR MARK BULLOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
133 W MAIN ST STE 100, EL CAJON, CA 92020-3325
(619) 401-0404
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2323
(619) 906-4564

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
BP10025759
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
A113241
CA

Other

Enumeration date
11/09/2007
Last updated
05/26/2021
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