Individual
DR. JULIAN L GENDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-5650
(706) 669-3989
Mailing address
300 EAST HOSPITAL ROAD, FORT GORDON, GA 30905-5650
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101273153
VA
Other
Enumeration date
05/01/2020
Last updated
09/26/2022
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