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Individual

REESE BULMASH

Active
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Individual

REESE BULMASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
29754
MS
207R00000X
Internal Medicine Physician
Primary
T-4146
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200004671
MS
Enumeration date
04/06/2020
Last updated
02/25/2025
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