John W Bullock in Colorado Springs - Physician Assistant

John W Bullock - NPI 1194799775

John W Bullock is a Physician Assistant in Colorado Springs, Colorado. John W Bullock practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for John W Bullock is 1194799775. The last update date is 2014-10-22.

John W Bullock's current location address is 2785 Boleyn Dr, Colorado Springs, Colorado. You can contact this provider via phone number 7192650017. The mailing address for John W Bullock is 2785 Boleyn Dr, Colorado Springs, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name John W Bullock
Address 2785 Boleyn Dr, Colorado Springs, Colorado
Phone Number 7192650017
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1194799775
Provider Enumeration Date 2006-02-13
Last Updated Date 2014-10-22

Provider Mailing Address Detail

Address 2785 Boleyn Dr
City Colorado Springs
State Colorado (CO)
Post Code 809205383
Phone Number 7192650017
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 13098
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about John W Bullock

What is the unique identifier code issued to John W Bullock by the Centers for Medicare & Medicaid Services?

The John W Bullock has been assigned the NPI (National Provider Identifier) 1194799775. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where John W Bullock's facilities are situated?

The facilities of John W Bullock are physically located at the following address: 2785 Boleyn Dr, Colorado Springs, CO, 809205383.

On what date was the 1194799775 assigned to John W Bullock?

The John W Bullock was issued its 1194799775 on 2006-02-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

On what date did the John W Bullock receive the assignment of its 1194799775 from the Centers for Medicare & Medicaid Services?

The John W Bullock was issued its 1194799775 by the Centers for Medicare & Medicaid Services on 2006-02-13.

As of what date was the information pertaining to John W Bullock, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to John W Bullock, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-10-22.

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