Individual
DR. CORY PAUL GACONNET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34800 BOB WILSON DR, NMCSD, DEPARTMENT OF ANESTHESIA, SAN DIEGO, CA 92134-1098
(619) 532-8943
(619) 532-8945
Mailing address
34800 BOB WILSON DR, NMCSD, DEPARTMENT OF ANESTHESIA, SAN DIEGO, CA 92134-1098
(619) 532-8943
(619) 532-8945
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101241808
VA
207L00000X
Anesthesiology Physician
Primary
A84394
CA
Other
Enumeration date
02/03/2006
Last updated
04/30/2014
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