Provider Demographics
NPI:1760434815
Name:HULL, RICHARD P (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:P
Last Name:HULL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:185 CHATEAU DR SW STE 301
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-7413
Mailing Address - Country:US
Mailing Address - Phone:256-533-4402
Mailing Address - Fax:256-551-1902
Practice Address - Street 1:185 CHATEAU DR SW STE 301
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-7413
Practice Address - Country:US
Practice Address - Phone:256-533-4402
Practice Address - Fax:256-551-1902
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL68932084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000001683Medicare ID - Type Unspecified
ALC74460Medicare UPIN