| Doctor Name: | MR. HARLAN J. BULLINGER |
| NPI Number: | 1144272253 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | |
| Business Practice Address: | 300 West Ottley Ave. Fruita, CO - 81521 |
| Business Phone Number: | 9708583900 |
| Business Fax Number: | |
| Mailing Address: | 3166 Breanna Marie Ct., GRAND JUNCTION |
| State: | CO |
| Postal Code: | 81504 |
| Phone Number: | 6053604142 |
| Fax Number: | |
| NPI Enumeration Date: | 05/17/2006 |
| NPI Last Update Date: | 11/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |