Individual
MICHELLE S BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.C.O
Contact information
Practice address
4606 S GARNETT RD STE 302, TULSA, OK 74146-5218
(918) 664-6544
(918) 664-0668
Mailing address
4606 S GARNETT RD, SUITE 302, TULSA, OK 74146-5231
(918) 246-0871
(918) 664-0668
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0732513
OK
Other
Enumeration date
10/03/2008
Last updated
10/03/2008
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