Organization
B&G PA MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY NELSON DUNAYE PA (PRESIDENT)
(916) 801-6988
Entity
Organization
Contact information
Practice address
4027 BANCROFT DR, EL DORADO HILLS, CA 95762-6935
(916) 933-4050
Mailing address
4027 BANCROFT DR., EL DORADO HILLS, CA 95762
(916) 933-4050
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11993
CA
Other
Enumeration date
05/28/2010
Last updated
05/28/2010
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