Individual
MRS. MOLLY BETH BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1664 S CHOCTAW RD, CHOCTAW, OK 73020-6766
(405) 963-3195
Mailing address
112 E 7TH ST, ARCADIA, OK 73007-9136
(405) 693-3772
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
216013
OK
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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