person
Shay Bullock, NP-C
Family Medicine Physician in Fort Hall, Idaho
NPI 1366101743

Shay Bullock is a Family Medicine Physician based in Fort Hall, ID. Shay Bullock practices in Fort Hall, ID and has the professional credentials of NP-C. The NPI Number for Shay Bullock is 1366101743 and holds a License No. 812099 (Idaho).

The current practice location address for Shay Bullock is 33 N. Mission Rd, Fort Hall, ID and can be reached out via phone at 208-380-9727.

Location: 33 N. Mission Rd, Fort Hall, ID, 83203-8016
person
Provider Profile Details
NPI Number
1366101743
Provider Name
Shay Bullock
Credential
NP-C
Provider Entity Type
Individual
Gender
Male
Address
33 N. Mission Rd, Fort Hall, ID, 83203-8016
Phone Number
208-380-9727
Fax Number
Provider Enumeration Date
12/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
33 N. Mission Rd
City
State
Zip
83203
Phone Number
208-380-9727
Fax Number
person
Provider Business Mailing Address Details
Address
33 N. Mission Rd
City
State
Zip
83203
Phone Number
208-380-9727
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
812099 (Nevada)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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