Individual
BETHANY K GAYLORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-6400
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-6400
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
O-0648
ID
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/20/2010
Last updated
01/26/2016
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