Individual
GARY SCOTT OLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
(209) 943-2000
Mailing address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
(209) 943-2000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
170007
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
OR
Other
Enumeration date
02/09/2015
Last updated
09/04/2020
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