Individual
DR. NICOLE M GULLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6367 E TANQUE VERDE ROAD, SUITE 200, TUCSON, AZ 85715-3832
(520) 290-5888
(520) 290-5551
Mailing address
6367 E TANQUE VERDE ROAD, SUITE 200, TUCSON, AZ 85715-3832
(520) 290-5888
(520) 290-5551
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
16213
NV
207Q00000X
Family Medicine Physician
Primary
23648
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295722718
—
NV
05
—
401604-03
—
AZ
Enumeration date
09/29/2005
Last updated
03/30/2016
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