Brenden G Tully, PA

NPI #1720765969 in Ashtabula, Ohio

Provider Information

NPI Number
1720765969
Entity Type
Individual
Name
Brenden G Tully, PA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Jun 29, 2023
Last Updated
Oct 10, 2023

Practice Location

Address
2420 LAKE AVE
State
Ohio
ZIP Code
44004-4954
Phone
(440) 997-2262

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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