Mr. GRANT A BULLOCK
Individual Provider (NPI-1)
Active
Psychiatry & Neurology, Psychiatry
Provider Information
- NPI Number
1174086391- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 4029 DEAN MARTIN DR, LAS VEGAS, NV, 891034138
- Phone
- (702) 848-2256
Specialties & Taxonomies
Psychiatry & Neurology, Psychiatry
Primary License: NV #DO3385
All Addresses
MAILING
3014 W CHARLESTON BLVD STE 130
LAS VEGAS, NV, 891020083