Individual
DR. MICHELLE MARIE TULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 W 5TH AVE, SPOKANE, WA 99204-2803
(509) 220-3589
Mailing address
PO BOX 21040, SPOKANE, WA 99201-7197
(509) 220-3589
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
MD60856468
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2013
Last updated
11/19/2018
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