Provider Demographics
NPI:1437238078
Name:THULL, DAVID ALLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALLEN
Last Name:THULL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9220 E MOUNTAIN VIEW RD
Mailing Address - Street 2:STE 102
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5134
Mailing Address - Country:US
Mailing Address - Phone:480-661-8348
Mailing Address - Fax:406-661-6971
Practice Address - Street 1:9220 E MOUNTAIN VIEW RD
Practice Address - Street 2:STE 102
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5134
Practice Address - Country:US
Practice Address - Phone:480-661-8348
Practice Address - Fax:406-661-6971
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ21407207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
5488450001OtherDMEPOS
F39888Medicare UPIN
20WCH6PO5Medicare ID - Type Unspecified