Basic Information
| Provider Information | |||||||||
| NPI: | 1801051990 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | WILLIAM J. TULEY, MD, PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 5431 | ||||||||
| Address2: | |||||||||
| City: | EVANSVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 477165431 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8124921960 | ||||||||
| FaxNumber: | 8124797865 | ||||||||
| Practice Location | |||||||||
| Address1: | 3809 WASHINGTON AVE | ||||||||
| Address2: | |||||||||
| City: | EVANSVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 477140547 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8124799500 | ||||||||
| FaxNumber: | 8124714877 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/28/2008 | ||||||||
| LastUpdateDate: | 04/04/2012 | ||||||||
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| AuthorizedOfficialLastName: | TULEY | ||||||||
| AuthorizedOfficialFirstName: | WILLIAM | ||||||||
| AuthorizedOfficialMiddleName: | J. | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 8124799500 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.