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Individual

DR. HENRY MARKLEY GASS IV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
14642 NEWPORT AVE STE 105, TUSTIN, CA 92780-6058
(949) 688-0958
(949) 688-0960
Mailing address
14642 NEWPORT AVE STE 105, TUSTIN, CA 92780-6058
(949) 688-0958
(949) 688-0960

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A201942
CA
208D00000X
General Practice Physician
Primary
0101260792
VA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/21/2015
Last updated
08/06/2026
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