NPI 1043069651

Jack Kevin Bullis, MD

Practitioner Surgery Physician Iowa City, IA

Practice location

Address: 200 Hawkins Dr, Iowa City, IA 52242-1009
Phone: (319) 356-1616
Mailing address: 510 W Washington Ave APT 508, Madison, WI 53703-2993

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence R-13133 (IA)

Other Surgery providers in Iowa →

Registry record

NPI: 1043069651
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 May 2024
Record last updated: 15 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.