DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GARY MICHAEL ULLERY, D.O.

Active

DR. GARY MICHAEL ULLERY, D.O. is a Internal Medicine healthcare provider located in BLACKFOOT, Idaho. NPI 1164785382 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · BLACKFOOT, ID

Registration Details

NPI Number
1164785382
Provider Type
Individual
Gender
Male
NPI Issued
Jun 21, 2012 (14.135118390229 yrs)
Last Updated
Jan 3, 2020
Licenses
O-0906 (ID)
O-0906 (ID)

Practice Information

Address
98 POPLAR ST FL 2
BLACKFOOT, ID, 832211758
Browse ID providers · Browse ZIP 83221
Phone
2087822380
Fax
2087853504
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine

Other Internal Medicine Providers in BLACKFOOT, ID

Name Credential NPI
MR. LANCE RONALD WEHRLE D.O. 1184919607
MR. MARK LUPTON DO 1134579576
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.