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Individual

DOUGLAS C GULA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
840 NW WASHINGTON BLVD, STE. A, HAMILTON, OH 45013-6384
(513) 867-4165
(513) 867-4168
Mailing address
840 NW WASHINGTON BLVD, STE. A, HAMILTON, OH 45013-6384
(513) 867-4165
(513) 867-4168

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
02001911A
IN
207X00000X
Orthopaedic Surgery Physician
Primary
34003360G
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000034778
ANTHEM PIN
OH
05
0539911
OH
01
0646653
AETNA PIN
OH
01
0900788
UNITED HEALTHCARE PIN
OH
01
1514328
UNITED MINE WORKERS PIN
OK
01
200028985
RR MEDICARE
OH
05
200067940A
IN
01
2725224985-00
WORKERS COMPENSATION
OH
01
316675200
US DEPT OF LABOR PIN
OH
05
6493507500
KY
Enumeration date
05/18/2006
Last updated
02/16/2016
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