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Individual

DR. WILLIAM CHRISTOPHER TULLOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
110 CASTLEBROOKE DR, VENETIA, PA 15367-1389
(724) 942-1310
Mailing address
110 CASTLEBROOKE DR, VENETIA, PA 15367-1389
(724) 942-1310

Taxonomy

Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
MD030529E
PA
207L00000X
Anesthesiology Physician
Primary
MD030529E
PA

Other

Enumeration date
03/05/2007
Last updated
02/24/2016
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