Dr KRISTAN BULLOCK is a female medical professional, specializing in Qualified Speech Language Pathologist. She graduated in 2013.
FOOTHILLS REHABILITATION AND PERFORMANCE SERVICES PLLC
3715 WOODKING DR
IDAHO FALLS
ID
834044720
Tel: 2085292255
| Npi | 1689082521 |
| Pac Id | 4385865575 |
| Professional Enrollment Id | I20141103000900 |
| Last Name | BULLOCK |
| First Name | KRISTAN |
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| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2013 |
| Primary Specialty | QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
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| Organization Legal Name | FOOTHILLS REHABILITATION AND PERFORMANCE SERVICES PLLC |
| Group Practice Pac Id | 6406077999 |
| Number Of Group Practice Members | 9 |
| Line 1 Street Address | 3715 WOODKING DR |
| Line 2 Street Address | |
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| City | IDAHO FALLS |
| State | ID |
| Zip Code | 834044720 |
| Phone Number | 2085292255 |
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| Professional Accepts Medicare Assignment | Y |
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