Individual provider · Type 1 NPI
John W. Bulrice, PAC
Medical Physician Assistant · Big Bear Lake, CA
NPI number
1740404318
Active
Practice location
41930 Garstin Dr
Big Bear Lake, CA 92315
Fax (909) 866-7030
Mailing address
PO Box 2915
Big Bear Lake, CA 92315-2915
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA11791 (CA) |
Medical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1740404318
John W. Bulrice, PAC's National Provider Identifier is 1740404318, issued on Apr 12, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Big Bear Lake, CA. The record was last updated on Jul 8, 2007.