Dr. Ian Thomas Pulliam
Family Doctor Family Doctor - Sports Medicine
644 W 12th St
Tracy
, California 95376-3437
Dr. Ian Thomas Pulliam
Family Doctor Family Doctor - Sports Medicine
644 W 12th St
Tracy
, California 95376-3437
(209) 832-8988
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About
Features
Specialties
- Family Doctor
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Ian Thomas Pulliam
- 644 W 12th St
- Tracy, CA
- Zip : 95376-3437
- Fax : (209) 832-8988
- Phone : (209) 832-8984
Second Address
- Dr. Ian Thomas Pulliam
- 644 W 12th St
- Tracy, CA
- Zip : 95376-3437
- Fax : (209) 832-8988
- Phone : (209) 832-8984
Reviews
FAQs
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What type of doctor is Dr. Ian Thomas Pulliam
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Is Dr. Ian Thomas Pulliam a sole practitioner?
Is Dr. Ian Thomas Pulliam accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 20A7496 | CA |
| N | 207QS0010X | Family Doctor - Sports Medicine | 20A7496 | CA |
National Provider Identifier
| NPI | 1245262682 |
|---|---|
| Provider Name | Dr. Ian Thomas Pulliam |
| First Address | Tracy, CA 95376-3437 |
| Second Address | Tracy, CA 95376-3437 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2006 |
| Last Update Date | 21/03/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F88671 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.