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Organization

MARK TULLOS MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK A TULLOS MD (OWNER)
(870) 239-5916
Entity
Organization

Contact information

Practice address
1000 W KINGSHIGHWAY, STE 13, PARAGOULD, AR 72450
(870) 239-5916
(870) 239-5916
Mailing address
1000 W KINGSHIGHWAY, STE 13, PARAGOULD, AR 72450
(870) 239-5916
(870) 239-5916

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E3870
AR

Other

Enumeration date
02/02/2006
Last updated
08/22/2020
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