Organization
RICKEY H. BULLARD, DPM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE M OAKES (OFFICE MANAGER)
(662) 844-4766
Entity
Organization
Contact information
Practice address
1902 W MAIN ST, TUPELO, MS 38801-3228
(662) 844-4766
(662) 680-6997
Mailing address
1902 W MAIN ST, TUPELO, MS 38801-3228
(662) 844-4766
(662) 680-6997
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
80058
MS
Other
Enumeration date
03/10/2008
Last updated
05/04/2016
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