Individual
DR. CHRISTOPHER MATTHEW GARRETT PULS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671-4739
(662) 772-4000
Mailing address
6712 E 108TH ST, TULSA, OK 74133-7122
(918) 607-6007
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
24295
OK
2084P0804X
Child & Adolescent Psychiatry Physician
32517
MS
2084P0804X
Child & Adolescent Psychiatry Physician
69858
TN
2084P0804X
Child & Adolescent Psychiatry Physician
EMC0004101
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200050080A
—
OK
Enumeration date
01/30/2006
Last updated
01/29/2025
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