Individual
DR. JOHN ALAN ULLRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2710 HARNEY STREET, SUITE 204, SNOWY RANGE SURGICAL SPECIALTIES, LARAMIE, WY 82072
(307) 460-2055
(307) 460-2058
Mailing address
2710 HARNEY STREET, SUITE 204, SNOWY RANGE SURGICAL SPECIALTIES, LARAMIE, WY 82072
(307) 460-2055
(307) 460-2058
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
48808
CO
208600000X
Surgery Physician
Primary
8535A
WY
208600000X
Surgery Physician
A83997
CA
Other
Enumeration date
07/26/2006
Last updated
12/07/2010
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