Individual
DR. ROSS GREGORY GAUDET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 BON AIR RD, GREENBRAE, CA 94904-1702
(415) 925-7100
Mailing address
PO BOX 527, LARKSPUR, CA 94977-0527
(504) 782-1362
(903) 787-5854
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
163250
CA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
288790
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2300512
—
LA
Enumeration date
03/19/2012
Last updated
04/15/2020
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