Individual
DR. SUSAN KRISTINE BULLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6120 JOHNSON DR, MISSION, KS 66202-3333
(913) 262-3937
(913) 262-3942
Mailing address
13385 SYCAMORE DR, PLATTE CITY, MO 64079-8358
(816) 390-8644
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1858
KS
Other
Enumeration date
08/10/2006
Last updated
02/26/2013
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