Doctor Name: | DR. TAMARA ANN PRULL |
NPI Number: | 1083659106 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 214246-1 |
Business Practice Address: | 191 N Main St Wellsville, NY - 148951150 |
Business Phone Number: | 5852476810 |
Business Fax Number: | 3155899406 |
Mailing Address: | 3388 Ridge Rd, WILLIAMSON |
State: | NY |
Postal Code: | 145899352 |
Phone Number: | 3155899657 |
Fax Number: | 3155899406 |
NPI Enumeration Date: | 06/20/2006 |
NPI Last Update Date: | 12/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207PE0004X |
License Number: | 214246-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | Emergency Medical Services |
Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |