DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. PETER PAUL BULLOCK JR., M.D.

Active

DR. PETER PAUL BULLOCK JR., M.D. is a Family Medicine healthcare provider located in MUSTANG, Oklahoma. NPI 1356506935 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · MUSTANG, OK

Registration Details

NPI Number
1356506935
Provider Type
Individual
Gender
Male
NPI Issued
Jul 23, 2008 (17.879555763705 yrs)
Last Updated
Jul 6, 2011
License
25803 (OK)

Practice Information

Address
106 S CASTLEROCK LN
MUSTANG, OK, 730644586
Browse OK providers · Browse ZIP 73064
Phone
4052560374
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in MUSTANG, OK

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.