STEPHEN D BULLOCK

SALT LAKE CITY, UT
NPI1073995072
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  375742-4405)
Enumeration Date2015-06-25
Last Update Date2015-06-25
Business Address
-- STEPHEN D BULLOCK APRN
441 S REDWOOD RD
SALT LAKE CITY, UT 84104-3539
Phone number: 801-294-6907
Mailing Address
-- STEPHEN D BULLOCK APRN
PO BOX 307
BOUNTIFUL, UT 84011-0307
Phone number: 801-294-6907
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