Individual
DR. BETTINA ANNE-MARGARET GAYCKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
527 N PALO ALTO AVE, PANAMA CITY, FL 32401-3639
(850) 747-4905
(850) 215-0469
Mailing address
PO BOX 1770, PANAMA CITY, FL 32402-1770
(850) 747-4905
(850) 215-0469
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
19155
MS
2085R0202X
Diagnostic Radiology Physician
43654
TN
2085R0202X
Diagnostic Radiology Physician
Primary
ME133611
FL
Other
Enumeration date
06/23/2008
Last updated
07/21/2022
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