NPI 1326351727

Michael Lonnie Bullard, MD

Practitioner Ophthalmology Physician Ogden, UT

Practice location

Address: 4360 Washington Blvd, Ogden, UT 84403-1866
Phone: (801) 476-0494
Fax: (801) 476-0067

Registered specialties (2)

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 9073398-1205 (UT)

Other Ophthalmology providers in Utah →

Pediatric Ophthalmology and Strabismus Specialist Physician

Allopathic & Osteopathic Physicians Taxonomy 207WX0110X Licence 9073398-1205 (UT)

Registry record

NPI: 1326351727
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jul 2010
Record last updated: 20 Apr 2020

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.