Individual provider · Type 1 NPI

Tully Robert Brackett, CAS I

Specialist · Placerville, CA

NPI number 1730203753 Active

Practice location

2914 Cold Springs Rd # B
Placerville, CA 95667-4220

Call (530) 626-9240 Map

Fax (530) 626-8992

Mailing address

295 Andrews St
Auburn, CA 95603-4602

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X3374 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1730203753

Tully Robert Brackett, CAS I's National Provider Identifier is 1730203753, issued on Mar 16, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Placerville, CA. The record was last updated on Jul 8, 2007.