Individual
PHILLIP WADE BULLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6437 S WOODLAND HILLS DR, TUCSON, AZ 85747-5976
(520) 954-1403
Mailing address
6437 S WOODLAND HILLS DR, TUCSON, AZ 85747-5976
(520) 954-1403
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN200299
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
294037
AZ
Other
Enumeration date
08/18/2020
Last updated
07/03/2023
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