Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIAN ULLOM
ActiveBRIAN ULLOM is a Pediatrics healthcare provider located in WAPATO, Washington. NPI 1508952797 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · WAPATO, WA
Registration Details
- NPI Number
- 1508952797
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 5, 2006 (20.065848398875 yrs)
- Last Updated
- Mar 24, 2021
- License
-
MD00032635 (WA)
Practice Information
- Address
-
620 W 1ST STWAPATO, WA, 989511108Browse WA providers · Browse ZIP 98951
- Phone
- 5098774111
- Fax
- 5098777349
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in WAPATO, WA
| Name | Credential | NPI |
|---|---|---|
| PAMELA SMITH | — | 1073673521 |
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.