Individual
DEBRA GULYANICS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
307 WESTERN DR, CHESTERFIELD, IN 46017-1230
(928) 566-7460
Mailing address
307 WESTERN DR, CHESTERFIELD, IN 46017-1230
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
3054
AZ
207Q00000X
Family Medicine Physician
Primary
02003656A
IN
207Q00000X
Family Medicine Physician
3054
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100223740
—
IN
05
—
326547
—
AZ
01
—
P01723956
RR MEDICARE
IN
Enumeration date
05/22/2006
Last updated
10/29/2019
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