Individual
DR. DAVID V PULLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1200 W 22ND ST, HIGGINSVILLE, MO 64037-1420
(660) 747-7751
Mailing address
1200 W 22ND ST, HIGGINSVILLE, MO 64037-1420
(660) 747-7751
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36038
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11626012
BCBS OF KC
MO
05
—
242142404
—
MO
Enumeration date
05/02/2006
Last updated
11/09/2016
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