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Individual

DR. DAVID WAYNE GENTRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4000
Mailing address
6321 CATE RD, POWELL, TN 37849-4952
(865) 406-3698
(865) 938-6114

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
A95055
CA
207U00000X
Nuclear Medicine Physician
MD0000040690
TN

Other

Enumeration date
01/17/2007
Last updated
05/01/2023
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