Individual
DR. JONATHAN ALLEN GANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
THREE MEDICAL PLAZA, SUITE 110, ROSEVILLE, CA 95661-3088
(916) 797-4725
(916) 797-4726
Mailing address
P.O. BOX 255228, SACRAMENTO, CA 95865-5228
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
57011782
OH
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
A122003
CA
Other
Enumeration date
05/16/2007
Last updated
09/05/2012
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