Individual
DR. KEITH WILLIAM BULLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7435 SISTERS GRV STE 100, COLORADO SPRINGS, CO 80923-2628
(719) 960-0363
Mailing address
PO BOX 661266, DALLAS, TX 75266-1266
(719) 445-7544
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
39145
OK
207RC0000X
Cardiovascular Disease Physician
Primary
DR.0074193
CO
Other
Enumeration date
03/20/2019
Last updated
05/05/2026
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