Jerry J Bullough


Address: 360 S Fort Ln, Suite 102, Layton, UT 84041-4202
Phone: 8015463731

Jerry J Bullough (NPI# 1558360198, PAC ID# 5395899538) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.

Physician Overview

Nation Provider ID (NPI) 1558360198
PAC ID by PECOS 5395899538
Professional Enrollment ID I20090821000477
Full Name Jerry J Bullough
Address 360 S Fort Ln
Suite 102
Layton
UT 84041-4202
Phone Number 8015463731
Gender M
Medical School PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduation Year 1979
Primary Specialty CHIROPRACTIC
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
360 S Fort Ln, Suite 102, Layton, UT 84041-4202 8015463731

Organization Information

Office Location

Street Address 360 S FORT LN
SUITE 102
City LAYTON
State UT
Zip 84041-4202

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Competitor

Search similar physicians

City LAYTON
Zip Code 84041
Specialty CHIROPRACTIC
City + Specialty LAYTON + CHIROPRACTIC

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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