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Individual

MRS. GAYLE RUTH MISLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
15035 E 14TH ST, SAN LEANDRO, CA 94578-1901
(510) 276-2800
(510) 276-2896
Mailing address
PO BOX 2186, CASTRO VALLEY, CA 94546-0186
(510) 885-0225
(510) 885-0226

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G38840
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
G38840
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1609846401
NPI
CA
01
1831499607
NPI
CA
01
DT775B
PTAN
CA
01
DT785Z
PTAN
CA
01
G38840
LICENSE NUMBER
Enumeration date
01/24/2006
Last updated
07/25/2011
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