Individual
DR. ROBERT T SHULL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 W TYLER AVE, WEST MEMPHIS, AR 72301-4223
(870) 735-1500
Mailing address
640 HEADDEN DR, RIDGELY, TN 38080-1215
(731) 264-5688
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R-4402
AR
Other
Enumeration date
07/31/2006
Last updated
09/21/2010
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