Gary Nichols M.D.

NPI 1033201587 - Internal Medicine - 207R00000X

NPI Details
NPI 1033201587
Gender Male
Enumeration Date 09/29/2006
Last Updated 01/08/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
3883 AIRWAY DR
SUITE 201
SANTA ROSA CA, 95403-1670, US
Phone (707) 521-8900
Fax (707) 523-1309
Business Location
3883 AIRWAY DR
SUITE 201
SANTA ROSA CA, 95403-1670, US
Phone (707) 521-8900
Fax (707) 523-1309
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number G73872
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According to our database, Gary Nichols M.D. NPI is 1033201587, taxonomy code is 207R00000X and license number is G73872, license state is located at California. Gary Nichols M.D. physically located at 3883 Airway Dr, Santa Rosa CA, 95403-1670. NPI Number Gary Nichols M.D. has the Individual type.

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1033201587 NPI number is provided on an as is basis without warranty of any kind. 1033201587 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Nichols M.D. are for informational purposes only.