Dullye, Larry J

Dullye, Larry J is an individual health care provider with primary practice located at 802 S Jackson Ave 200, Tulsa OK 74127-9015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Dullye, Larry J can be contacted via phone (918) 585-3372.

Contact Information

Primary practice address
802 S Jackson Ave 200 Tulsa OK 74127-9015
Phone: (918) 585-3372
Fax: (918) 599-9116
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 1569 Oklahoma

Profile Details

NPI number 1235208042
LBN Legal business name Dullye, Larry J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jul 11th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235208042 NPPES
Oklahoma MEDICAID 100159680A

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