| Jack Bullard, | |
|
3100 W Ray Rd Ste 201, Chandler, AZ 85226-2472 | |
| (602) 892-8680 | |
| (480) 936-7565 |
| Full Name | Jack Bullard |
|---|---|
| Gender | Male |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 1 Years |
| Location | 3100 W Ray Rd Ste 201, Chandler, Arizona |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568330983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86375126 (Arizona) | Primary |
| Provider Name | Am Nutrition Services |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003011602 PECOS PAC ID: 1254430580 Enrollment ID: O20070627000063 |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Bullard, 18001 N 79th Ave Ste A12, Glendale, AZ 85308-8398 Ph: (623) 399-6825 | Jack Bullard, 3100 W Ray Rd Ste 201, Chandler, AZ 85226-2472 Ph: (602) 892-8680 |
Mandi Turner, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3050 S Gilbert Rd, Chandler, AZ 85286 Phone: 602-770-7611 |
Mrs. Brenda Marie Gridley, R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 695 S Dobson Rd, Chandler, AZ 85224 Phone: 480-821-2838 Fax: 480-821-9444 |
Pinnacle Prevention Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3100 W Ray Rd Ste 201, Chandler, AZ 85226 Phone: 480-207-5955 Fax: 480-550-8806 |
Tanner Graves, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3100 W Ray Rd Ste 201, Chandler, AZ 85226 Phone: 623-399-6825 Fax: 623-505-3474 |
Jenna Hart, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1840 W Chandler Blvd Ste D-2, Chandler, AZ 85224 Phone: 480-745-8577 Fax: 480-745-8677 |
Cassi Camacho, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1683 W Carla Vista Dr, Chandler, AZ 85224 Phone: 209-404-5909 |
Tricia L Young, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 695 S Dobson Rd, Chandler, AZ 85224 Phone: 480-821-2838 Fax: 480-821-9444 |