National Provider Identifier
Edward Michael Bullard, RPA C
Edward Michael Bullard, RPA C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Penfield, NY and a listed phone number of (585) 598-8555.
Profile Overview
- NPI
- 1386662666
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- July 17, 2006
- Last Updated
- January 07, 2008
Practice Location
- 2212 Penfield RD
- Suite 200
- Penfield, NY 14526-1756
Phone: (585) 598-8555
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1386662666
- Entity Type
- Individual
- Last Name
- Bullard
- First Name
- Edward
- Middle Name
- Michael
- Name Prefix
- Mr.
- Credential
- RPA C
- Mailing Street Address
- 2212 Penfield RD
- Mailing Address Line 2
- Suite 200
- Mailing City
- Penfield
- Mailing State
- NY
- Mailing ZIP Code
- 14526-1756
- Mailing Country
- US
- Mailing Phone
- (585) 598-8555
- Mailing Fax
- (585) 388-1483
- Practice Street Address
- 2212 Penfield RD
- Practice Address Line 2
- Suite 200
- Practice City
- Penfield
- Practice State
- NY
- Practice ZIP Code
- 14526-1756
- Practice Country
- US
- Practice Phone
- (585) 598-8555
- Practice Fax
- (585) 388-1483
- Enumeration Date
- July 17, 2006
- Last Updated
- January 07, 2008
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)
- Other Identifiers
- 02347611 (NY)