Individual
ALVIN I GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1165 MONTGOMERY DR # 1W20, SANTA ROSA, CA 95405-4801
(707) 303-8307
(707) 303-1992
Mailing address
1165 MONTGOMERY DR # 1W20, SANTA ROSA, CA 95405-4801
(707) 303-8307
(707) 303-1992
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A79731
CA
207Q00000X
Family Medicine Physician
MD417462
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001858789
—
PA
Enumeration date
06/13/2005
Last updated
11/02/2021
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