Brian Ullom

Pediatrics Physician · Wapato, WA

Individual Active NPI

NPI number 1508952797

Practice location

620 W 1st St
Wapato, WA 98951-1108
Phone
(509) 877-4111
Fax
(509) 877-7349

Open in Google Maps

NPI record

NPI
1508952797
Entity type
Individual (Type 1)
Enumeration date
October 5, 2006
Last updated
March 24, 2021
Certified
March 24, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X MD00032635 WA

About Brian Ullom

Brian Ullom is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 620 W 1st St, Wapato, WA 98951-1108. The NPI number 1508952797 was assigned on October 5, 2006 and the record was last updated on March 24, 2021.

Brian Ullom lists a license in the registry: #MD00032635 (WA) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brian Ullom?

The NPI number is 1508952797.

What is the phone number of Brian Ullom?

The phone number listed for the practice location is (509) 877-4111.

Where is Brian Ullom located?

620 W 1st St, Wapato, WA 98951-1108.

What is the taxonomy code for Brian Ullom?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Pediatrics Physician providers in Wapato

All Pediatrics Physician providers in Wapato, WA →