Most Relevant Information
Provider Data
| NPI Number: | 1003048265 |
| Provider Name: | GARY KULAK M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 2002002061 |
Most Important Dates
| Enumeration Date: | 08/20/2009 |
| Last Updated: | 08/20/2009 |
Provider Practice Location
970 N SPOEDE RD
37
SAINT LOUIS
MO
631465567
Practice Location Phone/Fax
| Phone: | 3149919139 |
| Fax: |
Provider Mailing Location
970 N SPOEDE RD
37
SAINT LOUIS
MO
631465567
Provider Mailing Phone/Fax
| Phone: | 3149919139 |
| Fax: |