Organization
DR ROLAND A GASKINS DPM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROLAND ANDRE GASKINS D.P.M (OWNER)
(951) 486-8618
Entity
Organization
Contact information
Practice address
23025 ATLANTIC CIR, SUITE C, MORENO VALLEY, CA 92553-5909
(951) 486-8618
(951) 486-9018
Mailing address
PO BOX 7903, MORENO VALLEY, CA 92552-7903
(951) 486-8618
(951) 486-9018
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E3646
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0732624
—
CA
Enumeration date
07/14/2011
Last updated
03/09/2012
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