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Canon Tulloss

NPI 1043035124 · on the registry since 2024

Practice

Address
2915 N 4th St
Flagstaff, AZ 86004
Phone
(928) 779-1679
Fax
(928) 779-2822
Organisation at this address
Northland-Rural Therapy Associates, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-11-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona