Provider Demographics
NPI:1477676203
Name:PULLARA, FRANK DOMINIC (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:DOMINIC
Last Name:PULLARA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:11504 WOODMAR LN NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-6515
Mailing Address - Country:US
Mailing Address - Phone:702-275-4623
Mailing Address - Fax:505-299-0831
Practice Address - Street 1:11504 WOODMAR LN NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-6515
Practice Address - Country:US
Practice Address - Phone:702-275-4623
Practice Address - Fax:505-299-0831
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM2002-0092207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine