DR. GARY ULLERY, D.O.

Internal Medicine

Active Individual
NPI: 1164785382

Practice Address

98 POPLAR ST FL 2
Blackfoot, ID 83221

Phone: (208) 782-2380

Specialties

Specialty Code Primary License
Pediatrics 208000000X No O-0906 (ID)
Internal Medicine 207R00000X Yes O-0906 (ID)

Frequently Asked Questions

NPI 1164785382 is the National Provider Identifier for DR. GARY ULLERY, D.O., a Internal Medicine provider located in Blackfoot, ID. This NPI was enumerated on June 21, 2012.
DR. GARY ULLERY, D.O. practices at 98 POPLAR ST FL 2, Blackfoot, ID 83221.

Quick Facts

NPI
1164785382
Type
Individual
Enumerated
Jun 21, 2012
Last Updated
Jan 3, 2020

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