ASHLEY MICHELLE BULLOCH
Individual Provider (NPI-1)
Active
Internal Medicine
Provider Information
- NPI Number
1790429140- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 309 JACKSON ST, MONROE, LA, 712017407
- Phone
- (318) 966-4541
- Fax
- (225) 765-9196
Specialties & Taxonomies
Internal Medicine
Primary License: LA #346459
Hospitalist
License: LA #346459