Individual
DR. PHILIP ADRIEN GAUDREAU III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34520 BOB WILSON DR STE 200, SAN DIEGO, CA 92134-2200
(619) 532-9600
Mailing address
34520 BOB WILSON DR STE 200, SAN DIEGO, CA 92134-2200
(619) 532-9600
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A149585
CA
Other
Enumeration date
06/07/2008
Last updated
07/21/2022
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