Individual
JAMES GULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
60 MDG/SGQX, 101 BODIN CIR, TRAVIS AFB, CA 94535-1800
(707) 423-3545
Mailing address
60 MDG/MDTS, 101 BODIN CIRCLE, TRAVIS, CA 94535-1809
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01076741A
IN
Other
Enumeration date
06/02/2014
Last updated
07/15/2024
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