Tully, Robert P

Tully, Robert P is an individual health care provider with primary practice located at 7525 E Broadway Rd Ste 2, Mesa AZ 85208-1154. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Tully, Robert P can be contacted via phone (480) 981-9800.

Contact Information

Primary practice address
7525 E Broadway Rd Ste 2 Mesa AZ 85208-1154
Phone: (480) 981-9800
Fax: (480) 985-9465
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 13591 Arizona

Profile Details

NPI number 1013932870
LBN Legal business name Tully, Robert P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Apr 12th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013932870 NPPES
Arizona MEDICAID 242149
Arizona Other 110010418
Arizona Other AZ0181280

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