Individual
MR. GERARD EMILE ARDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
940 SYLVA LN STE G, SONORA, CA 95370-5969
(209) 532-2020
Mailing address
940 SYLVA LN STE G, SONORA, CA 95370-5969
(209) 532-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G66625
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G666250
—
CA
05
—
00G666251
—
CA
01
—
1299310001
DMERC NORIDIAN
CA
01
—
1299310002
SECOND DMERC NORIDIAN
CA
01
—
180029904
RAILROAD MEDICARE PIN
CA
Enumeration date
02/23/2007
Last updated
04/23/2015
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