Organization
K G GAUNTT DPM PC
Active
Other names
Foot Health Center of Newberg
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM GARY GAUNTT DPM (OWNER)
(503) 538-0466
Entity
Organization
Contact information
Practice address
410 VILLA ROAD, NEWBERG, OR 97132-1853
(503) 538-0466
Mailing address
410 VILLA ROAD, NEWBERG, OR 97132-1853
(503) 538-0466
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
DP00197
OR
Other
Enumeration date
03/05/2008
Last updated
05/07/2013
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