Individual
MR. ROBERT P TULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7525 E BROADWAY RD, STE 2, MESA, AZ 85208-1154
(480) 981-9800
(480) 985-9465
Mailing address
7525 E BROADWAY RD, STE 2, MESA, AZ 85208-1154
(480) 981-9800
(480) 985-9465
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
13591
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110010418
RR MEDICARE
AZ
05
—
242149
—
AZ
01
—
AZ0181280
BCBS
AZ
Enumeration date
07/13/2006
Last updated
04/12/2017
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