Individual
CHRISTOPHER RYAN GAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
MD456885
PA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MT202141
PA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
MD61001203
WA
Other
Enumeration date
06/22/2012
Last updated
02/06/2020
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