Individual
RICHARD CARL GILGUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1325 COTTONWOOD ST, WOODLAND, CA 95695-5131
(530) 662-3961
Mailing address
1325 COTTONWOOD ST, WOODLAND, CA 95695-5131
(530) 662-3961
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA22518
CA
Other
Enumeration date
10/18/2012
Last updated
10/30/2013
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