Individual
RICHARD BULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1701 N STOCKTON HILL RD STE D, KINGMAN, AZ 86401-6600
(928) 718-1009
Mailing address
1701 N STOCKTON HILL RD STE D, KINGMAN, AZ 86401-6600
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002489
AZ
Other
Enumeration date
06/13/2021
Last updated
04/20/2024
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