Individual
CODY BULLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
12750 SAINT FRANCIS DR, CROWN POINT, IN 46307-0264
(219) 738-2100
Mailing address
12750 SAINT FRANCIS DR, CROWN POINT, IN 46307-0264
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004800A
IN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
03/31/2025
Last updated
05/06/2025
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