Individual
DR. WILLIAM H GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
430 RIO ST, RED BLUFF, CA 96080-3417
(530) 528-0801
Mailing address
430 RIO ST, RED BLUFF, CA 96080-3417
(530) 528-0801
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G60970
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G609700
—
CA
Enumeration date
10/11/2006
Last updated
01/05/2009
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