MR. Himanshu Raj Ullal, PA-C

NPI #1851863476 in Globe, Arizona

Provider Information

NPI Number: 1851863476
Entity Type: Individual
Name: MR. Himanshu Raj Ullal, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 20, 2018
Last Updated: Dec 20, 2018

Practice Location

Address: 5882 S HOSPITAL DR STE 1
City: Globe
State: Arizona
ZIP Code: 85501-9455
Phone: (928) 793-3747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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