Individual provider · Type 1 NPI

Mark J. Tullman, MD

Neurology Physician · St. Louis, MO

NPI number 1629082375 Active

Practice location

3009 N Ballas Rd, Suite 207B
St. Louis, MO 63131-2322

Call (314) 996-7960 Map

Fax (314) 989-0235

Mailing address

670 Mason Ridge Center Dr, Suite 300
St. Louis, MO 63141-8573

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician 2084N0400X215887-1 (NY)
Neurology Physician Primary 2084N0400X2011013368 (MO)

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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About NPI 1629082375

Mark J. Tullman, MD's National Provider Identifier is 1629082375, issued on Jul 28, 2006. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in St. Louis, MO. The record was last updated on Mar 22, 2021.