HomeNPI Verification

NPI Verification

National Provider Identifier: 1306379052

Christopher J Bullard, MD

Individual Provider

Credentials

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (2)

Internal Medicine

Code: 207R00000X

Primary

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Practice Address

719 S MAIN ST

MOSCOW, ID 838433041

Phone: 208-883-1152

NPI Enumeration Date

April 10, 2017

NPI Number

1306379052

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry