Organization
JOEL E ULLOTH, MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL E ULLOTH M.D. (PRESIDENT)
(530) 276-7352
Entity
Organization
Contact information
Practice address
85 MAUI LANI PKWY, WAILUKU, HI 96793-2416
(808) 442-5700
(808) 442-5701
Mailing address
PO BOX 496084, REDDING, CA 96049-6084
(530) 241-9800
(530) 241-9808
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A108943
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255562302
—
CA
Enumeration date
08/06/2009
Last updated
02/04/2019
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