Individual
DR. JODY BULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
313 W MAIN ST, COUNCIL GROVE, KS 66846-1706
(620) 767-5103
Mailing address
313 W MAIN ST, COUNCIL GROVE, KS 66846-1706
(620) 767-5103
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1973
KS
152W00000X
Optometrist
2014017406
MO
Other
Enumeration date
06/24/2014
Last updated
08/18/2015
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