Provider Demographics
NPI:1326281239
Name:GULL, JOHN DENNIS (DO)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:DENNIS
Last Name:GULL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1784 BROWNING WAY STE 120
Mailing Address - Street 2:
Mailing Address - City:ELKO
Mailing Address - State:NV
Mailing Address - Zip Code:89801-8331
Mailing Address - Country:US
Mailing Address - Phone:775-738-2555
Mailing Address - Fax:775-738-2585
Practice Address - Street 1:1784 BROWNING WAY STE 120
Practice Address - Street 2:
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-8331
Practice Address - Country:US
Practice Address - Phone:775-738-2555
Practice Address - Fax:775-738-2585
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-08
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVDO1475207YX0905X, 207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery