Organization
GARY MATSUMURA MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY ARTHUR MATSUMURA MD (PRESIDENT)
(707) 695-8000
Entity
Organization
Contact information
Practice address
1817 ROCKVILLE ROAD, FAIRFIED, CA 94534-1412
(707) 695-8000
(707) 864-3506
Mailing address
PO BOX 1862, SUISUN CITY, CA 94585
(707) 695-8000
(707) 864-3506
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0103180
—
CA
Enumeration date
03/09/2007
Last updated
11/08/2007
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