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Individual

GERALD DENNIS MAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
602 EXETER LANE, CAMBRIA, CA 93428
(805) 927-3713
Mailing address
PO BOX 1462, CAMBRIA, CA 93428-1462
(805) 927-3713

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
A24331
CA
2085R0202X
Diagnostic Radiology Physician
A24331
CA

Other

Enumeration date
04/02/2007
Last updated
09/11/2025
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