NPI 1992230239 · live from the CMS NPI Registry
Corey Gaul, M.D.
Emergency Medicine in Polson, MT. National Provider Identifier 1992230239, active.
NPI record
| NPI | 1992230239 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 6 13th Ave E, Polson, MT 59860 |
| Practice phone | 406-883-5680 |
| Mailing address | Po Box 262, Liberty Lake, WA 99019 |
| Enumerated | April 24, 2017 |
| Last updated | May 1, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine | 207P00000X | 58568 (AZ) |
| Emergency Medicine | 207P00000X | R76048 (AZ) |
| Emergency Medicine primary | 207P00000X | MED-PHYS-LIC-83216 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.