Individual
MICAH DAVID PULLINS
Active
Individual
MICAH DAVID PULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
011855
AZ
207X00000X
Orthopaedic Surgery Physician
5101017901
MI
207X00000X
Orthopaedic Surgery Physician
9494A
WY
207X00000X
Orthopaedic Surgery Physician
DO2109
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730482167
—
WY
01
—
W25532
MEDICARE
WY
Enumeration date
12/07/2010
Last updated
08/04/2025
Update your record
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