Individual
DR. GARY G GULARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5633 N LIDGERWOOD ST, SPOKANE, WA 99208-1224
(509) 482-2448
(509) 482-2452
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD00031833
WA
207Q00000X
Family Medicine Physician
Primary
MD00031833
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8157182
—
WA
01
—
G000362000
MEDICARE GROUP
WA
Enumeration date
02/12/2007
Last updated
12/27/2021
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