Mr. Robert P Tully
Geriatric Medicine
7525 E Broadway Rd Ste 2
Mesa
, Arizona 85208-1154
Mr. Robert P Tully
Geriatric Medicine
7525 E Broadway Rd Ste 2
Mesa
, Arizona 85208-1154
(480) 985-9465
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Mr. Robert P Tully
- 7525 E Broadway Rd Ste 2
- Mesa, AZ
- Zip : 85208-1154
- Fax : (480) 985-9465
- Phone : (480) 981-9800
Second Address
- Mr. Robert P Tully
- 7525 E Broadway Rd Ste 2
- Mesa, AZ
- Zip : 85208-1154
- Fax : (480) 985-9465
- Phone : (480) 981-9800
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Is Mr. Robert P Tully a sole practitioner?
Is Mr. Robert P Tully accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | 13591 | AZ |
National Provider Identifier
| NPI | 1013932870 |
|---|---|
| Provider Name | Mr. Robert P Tully |
| First Address | Mesa, AZ 85208-1154 |
| Second Address | Mesa, AZ 85208-1154 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/07/2006 |
| Last Update Date | 12/04/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 110010418 | RR MEDICARE (01) | AZ |
| 242149 | (05) | AZ |
| AZ0181280 | BCBS (01) | AZ |
| D88980 | (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.