TERRY LEE BULLARD PAC NPI 1598856726

NPI Information

NPI: 1598856726
Provider Name: TERRY LEE BULLARD, PAC
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
403 W F ST
ONTARIO, CA
ZIP 91764
Phone: (909) 988-3288
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Terry Lee Bullard, PAC is a medical physician assistant in Ontario, CA. Terry Lee Bullard, PAC NPI is 1598856726. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

403 W F ST
ONTARIO, CA
ZIP 91764
Phone: (909) 988-3288
Fax: (909) 988-6767

The enumeration date for this NPI number is 9/26/2006 and was last updated on 10/26/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA11783	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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