Individual
JEFFREY KIYOSHI ULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2823 FRESNO ST, FRESNO, CA 93721-1324
(559) 499-6440
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A066548
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89-130J9
—
NC
05
—
N00979
—
SC
Enumeration date
06/02/2006
Last updated
02/09/2021
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