Dr. William Christopher Tullock
Anesthesiologist Sports Medicine Doctor
110 Castlebrooke Dr
Venetia
, Pennsylvania 15367-1389
Dr. William Christopher Tullock
Anesthesiologist Sports Medicine Doctor
110 Castlebrooke Dr
Venetia
, Pennsylvania 15367-1389
(724) 942-1310
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About
Features
Specialties
- Sports Medicine Doctor
- Anesthesiologist
Languages spoken
- English
Location
First Address
- Dr. William Christopher Tullock
- 110 Castlebrooke Dr
- Venetia, PA
- Zip : 15367-1389
- Phone : (724) 942-1310
Second Address
- Dr. William Christopher Tullock
- 110 Castlebrooke Dr
- Venetia, PA
- Zip : 15367-1389
- Phone : (724) 942-1310
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204C00000X | Sports Medicine Doctor | MD030529E | PA |
| Y | 207L00000X | Anesthesiologist | MD030529E | PA |
National Provider Identifier
| NPI | 1043349244 |
|---|---|
| Provider Name | Dr. William Christopher Tullock |
| First Address | Venetia, PA 15367-1389 |
| Second Address | Venetia, PA 15367-1389 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/03/2007 |
| Last Update Date | 24/02/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| B-38423 | (02) | PA |
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.