Mark Tullos MD PA

NPI #1861464281 in Paragould, Arkansas

Provider Information

NPI Number: 1861464281
Entity Type: Organization
Organization Name: Mark Tullos MD PA
Primary Specialty: Surgery
Enumeration Date: Feb 2, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1000 W KINGSHIGHWAY
Address 2: STE 13
City: Paragould
State: Arkansas
ZIP Code: 72450
Phone: (870) 239-5916

Authorized Official

Name: MARK A TULLOS, MD
Title: OWNER
Phone: (870) 239-5916

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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