Individual
LARRY J DULLYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
802 S JACKSON AVE, 200, TULSA, OK 74127-9015
(918) 585-3372
(918) 599-9116
Mailing address
802 S JACKSON AVE, 200, TULSA, OK 74127-9015
(918) 585-3372
(918) 599-9116
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
1569
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100159680A
—
OK
Enumeration date
11/07/2006
Last updated
07/11/2014
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