Individual
DR. DAVID L GANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2517 NE KRESKY AVE, CHEHALIS, WA 98532-2409
(360) 748-8632
(360) 807-7687
Mailing address
PO BOX 1506, CHEHALIS, WA 98532-0409
(360) 242-3008
(360) 807-7687
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD00048719
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1056090
—
WA
05
—
1891862769
—
MT
05
—
244205
—
OR
05
—
807850800
—
ID
Enumeration date
11/29/2006
Last updated
11/19/2020
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