Individual provider · Type 1 NPI
Gary Phillip Bullard, PA-C
Medical Physician Assistant · Niceville, FL
NPI number
1831165638
Active
Practice location
4566 E Highway 20 Ste 105
Niceville, FL 32578-8839
Fax (850) 279-4827
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0010-00280 (NC) |
| Medical Physician Assistant Primary | 363AM0700X | PA9104382 (FL) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
Other medical physician assistant providers in Niceville
- Clara Naomi Baker McNamara, PA-CMedical Physician Assistant Niceville, FL NPI 1003695537
- Amy M. Drab, PAMedical Physician Assistant Niceville, FL NPI 1023207891
- Harry F. Johnson, PA-CMedical Physician Assistant Niceville, FL NPI 1144260746
- Jennifer EdwardsMedical Physician Assistant Niceville, FL NPI 1487034344
- Julie Anne Augustine, PA-CMedical Physician Assistant Niceville, FL NPI 1629692439
- Jessica Brooke Rapa, P.A.Medical Physician Assistant Niceville, FL NPI 1760783294
- Rachel Maria Reid, PA-CMedical Physician Assistant Niceville, FL NPI 1790095479
About NPI 1831165638
Gary Phillip Bullard, PA-C's National Provider Identifier is 1831165638, issued on Feb 23, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Niceville, FL. The record was last updated on Jan 6, 2021.