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Individual

DR. ALLAN W. TULLOCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8631 W 3RD ST, SUITE #615 E, LOS ANGELES, CA 90048-5901
(310) 652-8132
(310) 659-3815
Mailing address
1505 S BENTLEY AVE APT 304, LOS ANGELES, CA 90025-3317
(646) 263-5842

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
104567
CA

Other

Enumeration date
10/03/2007
Last updated
08/13/2015
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