Individual
DR. MATTHEW JON GARGULINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
632 WEST GIBSON RD, WOODLAND, CA 95695
(530) 668-2630
(530) 668-4777
Mailing address
632 WEST GIBSON RD, WOODLAND, CA 95695
(530) 668-2630
(530) 668-4777
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
20A9757
CA
207X00000X
Orthopaedic Surgery Physician
Primary
20A9757
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A9757
MEDICAL LICENSE
CA
01
—
P00745187
MEDICARE RAILROAD
CA
Enumeration date
05/01/2007
Last updated
10/30/2013
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