DR. Gary Michael Ullery, D.O.

NPI #1164785382 in Blackfoot, Idaho

Provider Information

NPI Number: 1164785382
Entity Type: Individual
Name: DR. Gary Michael Ullery, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: D.O.
Enumeration Date: Jun 21, 2012
Last Updated: Jan 3, 2020

Practice Location

Address: 98 POPLAR ST FL 2
City: Blackfoot
State: Idaho
ZIP Code: 83221-1758
Phone: (208) 782-2380

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Internal Medicine	207R00000X	Primary

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