Individual
DR. GEOFFREY LATHROP BULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
850 S HERMITAGE RD, SUITE B15, HERMITAGE, PA 16148-3679
(724) 983-1355
(724) 981-1605
Mailing address
611 WESTVIEW DR, BEAVER, PA 15009-1460
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34.004686
OH
207P00000X
Emergency Medicine Physician
Primary
OS007030E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047550
HIGHMARK BS
PA
05
—
0746394
—
OH
Enumeration date
04/10/2006
Last updated
12/29/2010
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