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DR. GARY KULAK M.D.

Behavioral Analyst

Saint Louis, Missouri

Provider NPI: 1003048265

Provider Information:
DR. GARY  KULAK M.D.
Gender: M
Sole Proprietor


Practice Location:
970 N SPOEDE RD 37 SAINT LOUIS, MO 63146 US
Tel: 314-991-9139  Fax: --

Business Mailing Address:
970 N SPOEDE RD 37 SAINT LOUIS, MO 63146 US
Tel: 314-991-9139  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103K00000X

MO2002002061

Other Provider Identifiers:

IssuerNumberStateType
RETIRED-PSYCHIATRIST193400000XMO01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







BEHAVIORAL ANALYST JOBS MO - Page 1



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