Individual
DR. MATTHEW L. ULRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2940 E BANNER GATEWAY DR, #450, GILBERT, AZ 85234-2168
(480) 256-6444
(480) 256-3682
Mailing address
2940 E BANNER GATEWAY DR, #450, GILBERT, AZ 85234-2168
(480) 256-6444
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
47540
AZ
207RH0003X
Hematology & Oncology Physician
Primary
47540
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0297081
LABOR AND INDUSTRY
WA
Enumeration date
06/15/2007
Last updated
07/21/2025
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