Individual
JOHN STEWART TULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1265 S UTICA AVE, SUITE 300, TULSA, OK 74104-4243
(918) 592-0999
Mailing address
1265 S UTICA AVE, SUITE 300, TULSA, OK 74104-4243
(918) 592-0999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-31665
KS
207RC0000X
Cardiovascular Disease Physician
Primary
27053
OK
Other
Enumeration date
01/26/2007
Last updated
08/28/2013
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