Individual provider · NPI-1

Dr. Beryl Heather Bull, MD

Physical Medicine & Rehabilitation · Loma Linda, CA

NPI number1669589446
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1669589446
Entity type
Individual (NPI-1)
Name
Dr. Beryl Heather Bull
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Aug 25, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & RehabilitationA 55975CAYes

Practice location

11201 Benton St
Loma Linda, CA 92357-1000

Phone 909-522-6057

Mailing address

25698 Huron St
Loma Linda, CA 92354-3705

Phone 909-798-1887

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