Brian Ullom
Brian Ullom is a Pediatrics Physician in Wapato, Washington. Licensed in Washington. Registered with an NPI since 2006.
- Licensed in
- WA
- In the registry since
- 2006
Practice location Address checks out
620 W 1st StWapato, WA 98951-1108
Phone: (509) 877-4111
Fax: (509) 877-7349
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Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence MD00032635 (WA) |
|---|
Record details
| NPI number | 1508952797 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 5, 2006 |
| Last updated in NPPES | March 24, 2021 |
| Certification date | March 24, 2021 |
| Mailing address | 620 W 1st St, Wapato, WA 98951-1108 |
Other providers in Wapato
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Pamela Smith
620 W 1st St, Wapato, WA 98951-1108 · (509) 877-4111