John Patrick Tully in Bend - Physician Assistant
John Patrick Tully - NPI 1992964563
John Patrick Tully is a Physician Assistant in Bend, Oregon. John Patrick Tully practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for John Patrick Tully is 1992964563. The last update date is 2022-01-29.
John Patrick Tully's current location address is Po Box 6048, Bend, Oregon. You can contact this provider via phone number 5413824900 and fax number 5417062398. The mailing address for John Patrick Tully is Po Box 6048, Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Patrick Tully |
|---|---|
| Address | Po Box 6048, Bend, Oregon |
| Phone Number | 5413824900 |
| Fax Number | 5417062398 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1992964563 |
|---|---|
| Provider Enumeration Date | 2008-06-08 |
| Last Updated Date | 2022-01-29 |
Provider Mailing Address Detail
| Address | Po Box 6048 |
|---|---|
| City | Bend |
| State | Oregon (OR) |
| Post Code | 977086048 |
| Phone Number | 5413824900 |
| Fax Number | 5417062398 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | P175245 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500696906 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to John Patrick Tully by the Centers for Medicare & Medicaid Services?
The John Patrick Tully has been assigned the NPI (National Provider Identifier) 1992964563. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of John Patrick Tully?
The John Patrick Tully is situated at Po Box 6048, in the city of Bend, state of OR, with the zip code 977086048.
What is John Patrick Tully's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for John Patrick Tully is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the John Patrick Tully receive its 1992964563 assignment from the Centers for Medicare & Medicaid Services?
The John Patrick Tully was assigned its 1992964563 by the Centers for Medicare & Medicaid Services on 2008-06-08.
When was the information pertaining to John Patrick Tully most recently updated or revised?
The details related to John Patrick Tully, including its address, specialty, and other relevant information, were last updated or revised on 2022-01-29.
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