Individual
SCOTT THOMAS DULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6465 S YALE AVE STE 202, TULSA, OK 74136-7804
(918) 502-4900
(918) 502-4915
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
26851
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200233260A
—
OK
05
—
243249
—
OH
Enumeration date
05/31/2005
Last updated
02/23/2023
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