Individual provider · Type 1 NPI

Robert Gullickson, MD

Military Health Care Provider · San Antonio, TX

NPI number 1245934223 Active

Practice location

7703 Floyd Curl Dr
San Antonio, TX 78229-3901

Mailing address

1674 N Virginia St
Reno, NV 89507-8019

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1245934223

Robert Gullickson, MD's National Provider Identifier is 1245934223, issued on Mar 27, 2023. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in San Antonio, TX. The record was last updated on Aug 31, 2023.