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Individual

JOEL ELDEN ULLOTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
85 MAUI LANI PKWY, MAILUKU, HI 96001-2414
(808) 442-5700
(808) 442-5701
Mailing address
PO BOX 496084, REDDING, CA 96049-6084
(530) 241-0473
(530) 229-3703

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A108943
CA

Other

Enumeration date
05/11/2006
Last updated
02/04/2019
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