AMICIA BULLARD pa-c
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1568549723- Provider Type
- Individual Provider (NPI-1)
- Credentials
- pa-c
- Status
- Active
Contact & Location
- Address
- 777 MURPHY RD, MEDFORD, OR, 975048425
- Phone
- (541) 772-2763
Specialties & Taxonomies
Physician Assistant, Medical
License: OR #pa00783
Physician Assistant
Primary License: OR #PA00783