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Search › Idaho › 363LF0000X

Nicholas Bullock

NPI 1508299348 · on the registry since 2013

Practice

Address
777 Hospital Way
Pocatello, ID 83201
Phone
(208) 239-1000
Organisation at this address
Cds,Pa
Rcp Inc
Bmh Inc.
Cep America Llc
Teton Spine, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
145

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
363L00000X
363LF0000X
363LX0106X
Licence states on file
NV, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-10-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho