Doctor Name: | DR. SCOTT M GULINSON |
NPI Number: | 1407852205 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 27414 |
Business Practice Address: | 5310 W Thunderbird Rd Suite 308 Glendale, AZ - 853064706 |
Business Phone Number: | 6234122229 |
Business Fax Number: | 6023146662 |
Mailing Address: | 5310 W Thunderbird Rd, Suite 308 GLENDALE |
State: | AZ |
Postal Code: | 853064706 |
Phone Number: | 6234122229 |
Fax Number: | 6023146662 |
NPI Enumeration Date: | 06/27/2005 |
NPI Last Update Date: | 02/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/16/2006 |
NPI Reactivation Date: | 03/21/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 27414 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |