Individual
DR. GIDEON PIETER NAUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
137 SOUTH SHEPHERD STREET, SONORA, CA 95370
(209) 588-8777
Mailing address
PO BOX 3833, 137 SOUTH SHEPHERD STREET, SONORA, CA 95370
(209) 588-8777
(209) 533-3263
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
53424
CA
208600000X
Surgery Physician
Primary
A53424
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5059135
—
CA
Enumeration date
11/07/2006
Last updated
05/06/2016
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