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Individual

DAVID A BULLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2020 59TH ST WEST, BLAKE MEDICAL CENTER, BRADENTON, FL 34209
(941) 792-6611
Mailing address
804 40TH ST WEST, STOUTAMYER-STRATOS-SCHROEDER-WHALEY-RIZZO & ASSOC MD PA, BRADENTON, FL 34205
(941) 749-5464
(941) 747-1815

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME68320
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
300087672
RAIL ROAD MEDICARE
FL
05
377611500
FL
Enumeration date
05/17/2006
Last updated
05/17/2010
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