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Individual

ROY E TULLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
255 ROUTE 220 HWY STE 203, MUNCY, PA 17756-7569
(570) 321-0880
(570) 321-8012
Mailing address
100 N ACADEMY AVE STE 104, DANVILLE, PA 17822-4093
(570) 271-6144
(570) 271-6578

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
OS009835L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0007386239
AETNA
PA
05
001938093
PA
01
0019380930002
MEDICAID DUBOIS
PA
01
0019380930003
MEDICAID MUNCY
PA
01
0019380930005
MEDICAID WILLIAMSPORT
PA
01
0019380930007
MEDICAID LEWISBURG
PA
01
036635
AMERIHEALTH
PA
01
059444767
TRICARE/CHAMPUS
PA
01
180046237
RAILROAD MEDICARE
PA
01
2153242
UNITED HEALTHCARE
PA
01
321821
UPMC
PA
01
385321
HEALTH AMERICA
PA
01
436635
BCBS
PA
01
50010412
CAPITAL BC
PA
01
76917-5365
GEISINGER HEALTH PLAN
PA
01
816741
FIRST PRIORITY HEALTH
PA
Enumeration date
04/12/2006
Last updated
07/10/2023
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