Organization
DAVID S GANS MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID STODDARD GANS MD (OWNER)
(707) 822-0395
Entity
Organization
Contact information
Practice address
3798 JANES RD, #18, ARCATA, CA 95521-4753
(707) 822-0395
(707) 822-4429
Mailing address
3798 JANES RD, #18, ARCATA, CA 95521-4753
(707) 822-0395
(707) 822-4429
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A22041
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A220410
—
CA
01
—
A22041
STATE
CA
Enumeration date
10/01/2007
Last updated
10/01/2007
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