Individual
GARY A GINGRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1805 E 19TH ST, THE DALLES, OR 97058-3365
(541) 296-2201
(541) 296-1237
Mailing address
1805 E 19TH ST, PO BOX 1520, THE DALLES, OR 97058-3365
(541) 296-2201
(541) 296-1237
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD14322
OR
Other
Enumeration date
11/17/2006
Last updated
07/08/2010
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