Bullock, Arnold Dewitt

Bullock, Arnold Dewitt is an individual health care provider with primary practice located at 4921 Parkview Pl Div Surg Urology, Ste 11C, Saint Louis MO 63110-1032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bullock, Arnold Dewitt can be contacted via phone (314) 362-8200.

Contact Information

Primary practice address
4921 Parkview Pl Div Surg Urology, Ste 11C Saint Louis MO 63110-1032
Phone: (314) 362-8200
Fax: (314) 454-5244
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 37012 Missouri

Profile Details

NPI number 1992721120
LBN Legal business name Bullock, Arnold Dewitt
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Apr 25th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992721120 NPPES
Missouri MEDICAID 206642407

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