Organization
WILLIAM A BULLEY MDPS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM A BULLEY JR. MD (PHYSICIAN/OWNER)
(253) 841-2929
Entity
Organization
Contact information
Practice address
324 E PIONEER, PUYALLUP, WA 98372-3264
(253) 841-2929
(253) 840-4931
Mailing address
324 E PIONEER, PUYALLUP, WA 98372-3264
(253) 841-2929
(253) 840-4931
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00015372
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1938000
—
WA
Enumeration date
03/04/2008
Last updated
03/04/2008
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