Individual
MICHAEL D GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1819
(909) 580-1520
(909) 580-1561
Mailing address
PO BOX 26060, FRESNO, CA 93729-6060
(559) 455-4000
(559) 455-4004
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A75740
CA
Other
Enumeration date
10/31/2007
Last updated
01/20/2009
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