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Organization

DOUGLAS C GULA DO PA, MIDWEST ORTHOPEDICS AND SPORTS MEDICINE

Active
Other names
MIDWEST ORTHOPEDICS & SPORTS MEDICINE
Organization subpart
No

Provider details

NPI number
Authorized official
DOUGLAS C GULA D.O. (PRESIDENT)
(513) 523-4290
Entity
Organization

Contact information

Practice address
5144B COLLEGE CORNER PIKE, OXFORD, OH 45056
(513) 524-4290
(513) 523-0767
Mailing address
PO BOX 643623, CINCINNATI, OH 45264-0308
(513) 524-4290
(513) 523-0767

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
34003360G
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2293496
OH
01
CH8796
RR MEDICARE
OH
Enumeration date
06/13/2006
Last updated
05/27/2008
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