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Individual

GARY MC CALLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1165 MONTGOMERY DRIVE, SANTA ROSA MEMORIAL HOSPITAL, SANTA ROSA, CA 95405-4897
(707) 522-1573
Mailing address
451 AVIATION BLVD STE 201, SANTA ROSA, CA 95403-1055
(707) 324-2400

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G72049
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G720490
CA
Enumeration date
06/15/2006
Last updated
07/12/2007
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