Search › Idaho › 207R00000X
Christopher Bullard, MD
NPI 1306379052 · on the registry since 2017
Practice
- Address
- 719 S Main St
Moscow, ID 83843 - Phone
- (208) 883-1152
- Fax
- (208) 882-1486
- Organisation at this address
- Gritman Medical Center Inc
Gritman Medical Center IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 390200000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho