Individual
ARIEL R BULLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2510 W DUNLAP AVE, 290, PHOENIX, AZ 85021-2737
(602) 789-0344
(602) 789-8389
Mailing address
2510 W DUNLAP AVE, 290, PHOENIX, AZ 85021-2737
(602) 789-0344
(602) 789-8389
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5339
AZ
363AM0700X
Medical Physician Assistant
3121
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52703282
—
CO
Enumeration date
10/01/2010
Last updated
01/01/2014
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