Doctor Name: | MRS. JULIE L.M. BULLOCK |
NPI Number: | 1396014304 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHLEBOTOMIST |
License Number: | |
Business Practice Address: | 2980 County Route 24 Russell, NY - 136843134 |
Business Phone Number: | 3155628483 |
Business Fax Number: | |
Mailing Address: | 2980 County Route 24, RUSSELL |
State: | NY |
Postal Code: | 136843134 |
Phone Number: | 3155628483 |
Fax Number: | |
NPI Enumeration Date: | 12/20/2011 |
NPI Last Update Date: | 12/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246RP1900X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Technician, Pathology |
Taxonomy Specialization: | Phlebotomy |
Taxonomy Definition: |