Provider Demographics
NPI:1306001532
Name:WILLIAM L DULL M D P C
Entity Type:Organization
Organization Name:WILLIAM L DULL M D P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:LISTER
Authorized Official - Last Name:DULL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:319-351-1860
Mailing Address - Street 1:321 E MARKET ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-2176
Mailing Address - Country:US
Mailing Address - Phone:319-351-1860
Mailing Address - Fax:319-351-4470
Practice Address - Street 1:321 E MARKET ST
Practice Address - Street 2:SUITE 106
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-2176
Practice Address - Country:US
Practice Address - Phone:319-351-1860
Practice Address - Fax:319-351-4470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-28
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA18978207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0140020Medicaid
1902810575OtherNPI
19744OtherMEDICARE ID
19744OtherMEDICARE ID