Individual
DAVID S. GULLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1350 S ELISEO DR, SUITE 200, GREENBRAE, CA 94904-2011
(415) 925-5000
(415) 925-5050
Mailing address
1350 S ELISEO DR, SUITE 200, GREENBRAE, CA 94904-2011
(415) 925-5000
(415) 925-5050
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G16825
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G168250
—
CA
01
—
G16825
STATE LICENSE
CA
Enumeration date
09/26/2006
Last updated
07/08/2007
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