Individual
ANIBAL RAUL GAUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
39300 BOB HOPE DR, BANNAN BLDG. 1109, RANCHO MIRAGE, CA 92270-3203
(760) 834-3790
(760) 834-3791
Mailing address
39300 BOB HOPE DR, BANNAN BLDG 1109, RANCHO MIRAGE, CA 92270-3203
(760) 834-3790
(760) 834-3791
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
00A367340
CA
2086S0129X
Vascular Surgery Physician
Primary
A36734
CA
Other
Enumeration date
07/26/2006
Last updated
02/25/2016
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