Individual
DR. NORMAN E TULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 SMITHSON DR, SUITE A, CASSVILLE, MO 65625-9429
(417) 847-3500
(417) 847-3523
Mailing address
3800 S NATIONAL AVE, #540, SPRINGFIELD, MO 65807-5209
(417) 847-3500
(417) 847-3523
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
102984
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203729108
—
MO
01
—
4068
BLUE CROSS OF MO
—
Enumeration date
09/20/2006
Last updated
11/20/2012
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