Individual
REED BULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9100 OLD MAIN HILL, LOGAN, UT 84322-9100
(435) 797-1660
(435) 797-3585
Mailing address
9100 OLD MAIN HILL, LOGAN, UT 84322-9100
(435) 797-1660
(435) 797-3585
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
161487-1205
UT
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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