Organization
JAMES E GAYDOS DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES EDWARD GAYDOS DO (PRESIDENT)
(925) 464-2100
Entity
Organization
Contact information
Practice address
153 ELM STREET, SUITE 1, MONTPELIER, VT 05602-2868
(802) 224-9914
(802) 224-9014
Mailing address
2900 CAMINO DIABLO, STE 200, WALNUT CREEK, CA 94597-3993
(925) 464-2100
(925) 464-2110
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016302
MEDICARE PTAN
—
01
—
1790004703
NPI
—
Enumeration date
06/01/2010
Last updated
05/17/2017
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