Individual
DR. STEVEN REED BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
155 FURMAN RD STE 101A, BOONE, NC 28607-5049
(828) 262-4402
(828) 264-0490
Mailing address
155 FURMAN RD STE 101A, BOONE, NC 28607-5049
(828) 262-4402
(828) 264-0490
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
2000101529
NC
2085R0202X
Diagnostic Radiology Physician
Primary
200101529
NC
2085R0204X
Vascular & Interventional Radiology Physician
2000101529
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89132MO
—
NC
Enumeration date
03/06/2006
Last updated
05/08/2014
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