Individual
MINDI MARIE BULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
800 W BOISE CIR, STE 150, BROKEN ARROW, OK 74012-4906
(918) 994-9150
(918) 403-6323
Mailing address
800 W BOISE CIR, STE 150, BROKEN ARROW, OK 74012-4906
(918) 994-9150
(918) 403-6323
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4384
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200101160A
—
OK
Enumeration date
12/21/2006
Last updated
10/17/2018
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