Individual
DR. DAVID MICHAEL TULLY-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
711 D ST, SUITE 111, SAN RAFAEL, CA 94901-3707
(415) 453-3030
Mailing address
PO BOX 3137, ROHNERT PARK, CA 94927-3137
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G30229
CA
Other
Enumeration date
02/22/2007
Last updated
11/07/2008
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