Individual
MR. GABRIEL MANUEL BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1630 E HERNDON AVE, FRESNO, CA 93720-3305
(559) 256-5200
(559) 256-5376
Mailing address
2100 POWELL ST STE 900, EMERYVILLE, CA 94608-1844
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
INTERIM LICENSE
CA
363AS0400X
Surgical Physician Assistant
Primary
PA18487
CA
Other
Enumeration date
06/27/2006
Last updated
02/20/2019
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