IndividualActive
Charles Tullis, CFA
NPI 1730335852 · Surgical Assistant · Grove, OK
Provider details
- NPI number
- 1730335852
- Entity type
- Individual
- Primary specialty
- Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
- Credential
- CFA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
601 E 13th St
Suite G
Grove, OK 74344-2989
Phone: (918) 786-3391
Fax: (918) 786-7264
Approximate (ZIP-level) locationGet directions
Mailing address
601 E 13th St
Grove, OK 74344-2989
Registry dates
- Enumerated
- 2008-08-08
- Last updated
- 2008-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.