Individual
DR. GARY D. STANWYCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
968 TORO ST, SAN LUIS OBISPO, CA 93401-3120
(805) 544-7570
(805) 544-7699
Mailing address
968 TORO ST, SAN LUIS OBISPO, CA 93401-3120
(805) 544-7570
(805) 544-7699
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
GO32863
CA
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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