Shadrick Bullock
Shadrick Bullock is a Peer Specialist in Owasso, Oklahoma. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
8344 N 117th East AveOwasso, OK 74055-2136
Phone: (918) 841-3794
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1235025958 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 17, 2025 |
| Last updated in NPPES | June 17, 2025 |
| Certification date | June 17, 2025 |
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