Individual
MR. VANCIL MCNULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2240 WINROW RD, FORT HUACHUCA, AZ 85613-5080
(520) 533-9902
Mailing address
PO BOX 488, HEREFORD, AZ 85615-0488
(520) 417-0109
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
7327
AZ
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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