Jerry Bullough, D.C

NPI 1558360198 · on the registry since 2005

Practice

Address: 360 S Fort Ln
Ste 102
Layton, UT 84041
Phone: (801) 546-3731
Fax: (801) 546-3777
Organisation at this address: Legacy Home Medical
Miracle Midwifery, Llc
Utah Birth Centers, Llc
Birthwise Maternity Care Lc
Birthwise Maternity Care, Lc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 111N00000X
111N00000X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-10-28

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 Utah