Individual
MARK PULLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
516 E LEWIS AND CLARK PKWY, CLARKSVILLE, IN 47129-1700
(812) 282-2020
(812) 288-2807
Mailing address
11103 WEST AVE, SUITE 6, SAN ANTONIO, TX 78213-1370
(210) 524-6663
(210) 524-6587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1024DT
KY
152W00000X
Optometrist
Primary
18002185
IN
Other
Enumeration date
12/26/2006
Last updated
07/09/2007
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