Basic Information
| Provider Information | |||||||||
| NPI: | 1710913256 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BULBUL | ||||||||
| FirstName: | RULA | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3250 GORDONVILLE RD | ||||||||
| Address2: | STE 301 | ||||||||
| City: | CAPE GIRARDEAU | ||||||||
| State: | MO | ||||||||
| PostalCode: | 637035056 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5733349641 | ||||||||
| FaxNumber: | 5733313120 | ||||||||
| Practice Location | |||||||||
| Address1: | 3250 GORDONVILLE RD | ||||||||
| Address2: | STE 301 | ||||||||
| City: | CAPE GIRARDEAU | ||||||||
| State: | MO | ||||||||
| PostalCode: | 637035056 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5733349641 | ||||||||
| FaxNumber: | 5733313120 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/25/2006 | ||||||||
| LastUpdateDate: | 11/09/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RR0500X | 2002009347 | MO | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology |
No ID Information.