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Contact Information

MONICA T BULLOCK, DO
2222 N NEVADA AVE
COLORADO SPRINGS, CO80907-6819
 Phone: 719-776-5646
 Fax: 719-776-8050
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MONICA T BULLOCK · (Female)

NPI # 1619409232
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/02/2017
Last updated 10/13/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • CO License # DR.0061153
  • CO Medicaid 9000165318
Hospital affiliation(s)
  • SANFORD USD MEDICAL CENTER - (Acute Care)
    1305 W 18TH ST POST OFFICE BOX 5039
    SIOUX FALLS, SD 57117
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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