SHADRICK BULLOCK
Peer Specialist
Active
Individual
NPI: 1235025958
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Peer Specialist | 175T00000X | Yes | - |
Frequently Asked Questions
NPI 1235025958 is the National Provider Identifier for SHADRICK BULLOCK, a Peer Specialist provider located in Owasso, OK. This NPI was enumerated on June 17, 2025.
SHADRICK BULLOCK practices at 8344 N 117TH EAST AVE, Owasso, OK 74055.
Quick Facts
- NPI
- 1235025958
- Type
- Individual
- Enumerated
- Jun 17, 2025
- Last Updated
- Jun 17, 2025
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