| James Gullo, MD | |
|
60 Mdg/sgqx, 101 Bodin Cir, Travis Afb, CA 94535-1800 | |
| (707) 423-3545 | |
| Not Available |
| Full Name | James Gullo |
|---|---|
| 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 |
|---|---|---|---|
| 1851703334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 01076741A (Indiana) | Primary |
| Entity Name | Regents Of The Univ Of Ca |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 Su, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, 60th Medical Group, Travis Afb, CA 94535 Phone: 707-423-7181 | |
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 | |
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 | |
Dr. Ely A Wolin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-426-7597 | |
Dr. David Dean Gover, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 60 Mdg/sgqx, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-7182 |