MR. Kristopher Vaughn Pullam, MD

NPI #1679067276 in Fenton, Missouri

Provider Information

NPI Number: 1679067276
Entity Type: Individual
Name: MR. Kristopher Vaughn Pullam, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 18, 2018
Last Updated: Jun 8, 2021

Practice Location

Address: 1203 SMIZER MILL RD STE 105
City: Fenton
State: Missouri
ZIP Code: 63026-3483
Phone: (636) 717-1350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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