Individual
DR. WILLIAM KIRK MACNULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 477-3991
Mailing address
1SFG(A) GROUP SURGEON'S OFFICE, BLDG 09937, GARFIELD ST, JOINT BASE LEWIS-MCCHORD, WA 98433
(253) 477-3991
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7232
FL
Other
Enumeration date
01/17/2006
Last updated
10/07/2019
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