Brian Ullom

NPI #1508952797 in Wapato, Washington

Provider Information

NPI Number: 1508952797
Entity Type: Individual
Name: Brian Ullom
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Enumeration Date: Oct 5, 2006
Last Updated: Mar 24, 2021

Practice Location

Address: 620 W 1ST ST
City: Wapato
State: Washington
ZIP Code: 98951-1108
Phone: (509) 877-4111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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