Dr ROBERT L BULLARD PA is a male medical professional, specializing in Physician Assistant. He graduated in 1978.
PROPHYLAXIS HEALTHCARE LLC
2431 SE WASHINGTON BLVD B
AXIS HEALTHCARE BARTLESVILLE
BARTLESVILLE
OK
740067259
Tel: 9183352273
Npi | 1952354755 |
Pac Id | 2567433220 |
Professional Enrollment Id | I20040804001819 |
Last Name | BULLARD |
First Name | ROBERT |
Middle Name | L |
Suffix | |
Gender | M |
Credential | PA |
Medical School Name | OTHER |
Graduation Year | 1978 |
Primary Specialty | PHYSICIAN ASSISTANT |
Secondary Specialty 1 | |
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Organization Legal Name | PROPHYLAXIS HEALTHCARE LLC |
Group Practice Pac Id | 3072784289 |
Number Of Group Practice Members | 16 |
Line 1 Street Address | 2431 SE WASHINGTON BLVD B |
Line 2 Street Address | AXIS HEALTHCARE BARTLESVILLE |
Marker Of Address Line 2 Suppression | |
City | BARTLESVILLE |
State | OK |
Zip Code | 740067259 |
Phone Number | 9183352273 |
Hospital Affiliation Ccn 1 | 370018 |
Hospital Affiliation Lbn 1 | JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC |
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Professional Accepts Medicare Assignment | Y |
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