| Pamela S Gulley, Md, Llc | |
|
2718 Forum Blvd Suite 4a Columbia MO 65203-5451 | |
| (573) 445-5335 | |
| (573) 445-5337 |
| Full Name | Pamela S Gulley, Md, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2718 Forum Blvd, Columbia, Missouri |
| Authorized Official Name and Position | Pamela S Gulley (OWNER) |
| Authorized Official Contact | 5734455335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela S Gulley, Md, Llc 2718 Forum Blvd Suite 4a Columbia MO 65203-5451 Ph: (573) 445-5335 | Pamela S Gulley, Md, Llc 2718 Forum Blvd Suite 4a Columbia MO 65203-5451 Ph: (573) 445-5335 |
| NPI Number | 1528124500 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528124500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | R4P17 (Missouri) | Primary |
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