James Gullo, MD | |
60 Mdg/sgqx, 101 Bodin Cir, Travis Afb, CA 94535-1800 | |
(707) 423-3545 | |
Not Available |
Full Name | James Gullo |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 60 Mdg/sgqx, Travis Afb, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1851703334 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2085R0202X | Radiology - Diagnostic Radiology | 01076741A (Indiana) | Primary |
Entity Name | Regents Of The Univ Of Ca |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892 |
Entity Name | Radiology Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851390850 PECOS PAC ID: 9537060470 Enrollment ID: O20210405001793 |
Mailing Address | Practice Location Address |
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James Gullo, MD 60 Mdg/mdts, 101 Bodin Circle, Travis, CA 94535-1809 Ph: () - | James Gullo, MD 60 Mdg/sgqx, 101 Bodin Cir, Travis Afb, CA 94535-1800 Ph: (707) 423-3545 |
Dr. Teddy Jinnteh Su, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, 60th Medical Group, Travis Afb, CA 94535 Phone: 707-423-7181 | |
Dr. Zoltan A. Varro, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7182 | |
James Odone, Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7182 | |
Dr. Theodore Joseph Jerdee, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, 60 Mdg/sgqx, Travis Afb, CA 94535 Phone: 707-423-7182 | |
Dr. Lance Dustin Edmonds, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Mdts/sgqx, Travis Afb, CA 94535 Phone: 707-423-7182 | |
Winnifred Wong, DO Radiology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7691 | |
Dr. Marvin Glass Jr., PHD Radiology Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5119 |