MACKENZIE TULLY

MEDFORD, OR
NPI1538849831
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  10012139)
Enumeration Date2023-07-20
Last Update Date2023-07-20
Business Address
MACKENZIE TULLY FNP
2825 E BARNETT RD
MEDFORD, OR 97504-8332
Phone number: 541-789-7000
Mailing Address
MACKENZIE TULLY FNP
PO BOX 4749
MEDFORD, OR 97501-0227
Phone number: