Individual
GERALD EDWARD TULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 340-3911
(760) 773-1497
Mailing address
PO BOX 847969, LOS ANGELES, CA 90084-7969
(626) 795-6596
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G60677
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G606770
—
CA
Enumeration date
06/30/2006
Last updated
02/26/2020
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