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RANDY BULLOCK, APRN W PP SUB
APRN W PP SUB
Nurse Practitioner
NPI: 1528099231IndividualAccepts Medicare
Specialties, Licenses & Credentials
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
1996264405(UT)8900CS(UT)
Education
OTHER
Class of 2001
Contact & Hours
- Address
- 237 26TH ST
OGDEN, UT 84401 - Phone
- (801) 625-3605
Quick Facts
- NPI
- 1528099231
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 25
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