Dr. GARY MICHAEL ULLERY D.O.
Individual Provider (NPI-1)
Active
Internal Medicine
Provider Information
- NPI Number
1164785382- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.O.
- Status
- Active
Contact & Location
- Address
- 98 POPLAR ST FL 2, BLACKFOOT, ID, 832211758
- Phone
- (208) 782-2380
- Fax
- (208) 785-3504
Specialties & Taxonomies
Pediatrics
License: ID #O-0906
Internal Medicine
Primary License: ID #O-0906