NPI 1164418364 · live from the CMS NPI Registry
William Ralph Gulledge, M.D.
Psychiatry & Neurology, Neurology in Springdale, UT. National Provider Identifier 1164418364, active.
NPI record
| NPI | 1164418364 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 2548 Anasazi Way, Springdale, UT 84767 |
| Practice phone | 817-921-4191 |
| Mailing address | Po Box 247, Springdale, UT 84767 |
| Enumerated | September 22, 2005 |
| Last updated | July 14, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | E9213 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.