Mark J Tullman is a Neurology in Saint Louis, Missouri. Mark J Tullman practices all healthcare services and medical treatments related to Neurology. The NPI Number for Mark J Tullman is 1629082375. The last update date is 2021-03-22.
Mark J Tullman's current location address is 670 Mason Ridge Center Dr, Saint Louis, Missouri. You can contact this provider via phone number 3149967960 and fax number 3149890235. The mailing address for Mark J Tullman is 670 Mason Ridge Center Dr, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark J Tullman |
|---|---|
| Address | 670 Mason Ridge Center Dr, Saint Louis, Missouri |
| Phone Number | 3149967960 |
| Fax Number | 3149890235 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1629082375 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2021-03-22 |
Provider Mailing Address Detail
| Address | 670 Mason Ridge Center Dr |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631418573 |
| Phone Number | 3149967960 |
| Fax Number | 3149890235 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | 215887-1 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2236895 | NY | -- |
Post Comment/ Review Below
What is the Mark J Tullman's 1629082375?
The Mark J Tullman's NPI (National Provider Identifier) Number is 1629082375. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mark J Tullman?
The Mark J Tullman is situated at 670 Mason Ridge Center Dr, in the city of Saint Louis, state of MO, with the zip code 631418573.
What is the Mark J Tullman's specialty and taxonomy code?
The Mark J Tullman's specialty is Neurology, and the corresponding taxonomy code is 2084N0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1629082375 to Mark J Tullman?
The Mark J Tullman received its 1629082375 assignment from the Centers for Medicare & Medicaid Services on 2006-07-28.
As of what date was the information pertaining to Mark J Tullman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark J Tullman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-03-22.