Individual
DR. SHANNON GULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
425 E DAHLIA AVE STE J, PALMER, AK 99645-6463
(907) 746-1520
(907) 746-1521
Mailing address
PO BOX 75032, CHICAGO, IL 60675-5032
(907) 746-1520
(907) 746-1521
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MEDS8191
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MEDS8191
—
AK
Enumeration date
03/02/2006
Last updated
07/15/2025
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