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Organization

YVONNE BULLARD MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YVONNE BULLARD MD (PHYSICIAN)
(850) 785-2229
Entity
Organization

Contact information

Practice address
801 E 6TH ST STE 606, PANAMA CITY, FL 32401-3645
(850) 785-2229
(850) 785-1806
Mailing address
801 E 6TH ST STE 606, PANAMA CITY, FL 32401-3645
(850) 785-2229
(850) 785-1806

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME0053167
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
077932680
FL
Enumeration date
08/02/2010
Last updated
08/06/2010
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