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NPI Code Detail

MEDICARE: MR. JOSEPH M PULLARA MD

MEDICARE: MR. JOSEPH M PULLARA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD00043007WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2501872OTHERWIUNITED GOVERNMENT SERVICE

General Provider Information

NPI Number : 1437118098
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSEPH M PULLARA MD
Provider Business Mailing Address
First Line : 433 E 8TH ST
Second Line :
City : PORT ANGELES
State : WA
Zip : 98362-6219
Country : US
Telephone Number : 360-452-3373
Fax Number :
Provider Business Practice Location Address
First Line : 433 E 8TH ST
Second Line :
City : PORT ANGELES
State : WA
Zip : 98362-6219
Country : US
Telephone Number : 360-452-3373
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2006
Last Update Date : 02/20/2010

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Directions to “ MR. JOSEPH M PULLARA MD” Practice Location

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