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Organization

GULSO PODIATRY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY GULSO DPM (MEMBER)
(801) 294-8266
Entity
Organization

Contact information

Practice address
415 MEDICAL DR, C200, BOUNTIFUL, UT 84010-4946
(801) 294-8266
(801) 294-8265
Mailing address
415 MEDICAL DR, C200, BOUNTIFUL, UT 84010-4946
(801) 294-8266
(801) 294-8265

Taxonomy

Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary

Other

Enumeration date
02/20/2007
Last updated
05/18/2010
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