| Doctor Name: | DR. WILLIAM CHRISTOPHER TULLOCK |
| NPI Number: | 1043349244 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD030529E |
| Business Practice Address: | 110 Castlebrooke Dr Venetia, PA - 153671389 |
| Business Phone Number: | 7249421310 |
| Business Fax Number: | |
| Mailing Address: | 110 Castlebrooke Dr, VENETIA |
| State: | PA |
| Postal Code: | 153671389 |
| Phone Number: | 7249421310 |
| Fax Number: | |
| NPI Enumeration Date: | 03/05/2007 |
| NPI Last Update Date: | 02/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204C00000X |
| License Number: | MD030529E |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |