Most Relevant Information
Provider Data
| NPI Number: | 1003336355 |
| Provider Name: | HUNTER BULLOCK MLS(ASCP) |
| Entity Type: | Individual |
| Taxonomy Code: | 246RM2200X |
| Specialty: | Technician, Pathology |
| License Number: | 25627587 |
Most Important Dates
| Enumeration Date: | 06/27/2017 |
| Last Updated: | 06/27/2017 |
Provider Practice Location
500 FOOTHILL DR
SALT LAKE CITY
UT
841480001
Practice Location Phone/Fax
| Phone: | 8015821565 |
| Fax: |
Provider Mailing Location
4200 N SEASONS VIEW DR APT O2122
LEHI
UT
840436272
Provider Mailing Phone/Fax
| Phone: | 8062826596 |
| Fax: |