Individual
DR. MARK D GULINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9250 N 3RD ST STE 4035, PHOENIX, AZ 85020-2434
(623) 279-3575
(602) 279-2666
Mailing address
3020 E CAMELBACK RD, SUITE 301, PHOENIX, AZ 85016-5095
(602) 264-9100
(602) 264-9101
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
24155
AZ
207RG0100X
Gastroenterology Physician
Primary
24155
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110639
MEDICARE PIN NUMBER FOR N
AZ
05
—
34530701
—
AZ
Enumeration date
06/13/2005
Last updated
11/03/2020
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