Individual
GUNNAR ERIK ROHDE-MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
14677 DEON DR, SONORA, CA 95370-9662
(209) 532-1844
Mailing address
14677 DEON DR, SONORA, CA 95370-9662
(209) 532-1844
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 15041
CA
Other
Enumeration date
12/14/2005
Last updated
01/31/2012
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