Individual
THOMAS JACKSON PULLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6101 SUMMITVIEW AVE STE 200, YAKIMA, WA 98908-3028
(509) 902-8857
(509) 902-8855
Mailing address
5200 W NOB HILL BLVD APT 353, YAKIMA, WA 98908-3668
(910) 638-4239
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60730018
WA
207RG0100X
Gastroenterology Physician
Primary
MD60730018
WA
Other
Enumeration date
04/05/2006
Last updated
01/24/2024
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