DR. Jack L Guccione, M.D., MPH
NPI #1174529010 in Fortuna, California
Provider Information
- NPI Number
- 1174529010
- Entity Type
- Individual
- Name
- DR. Jack L Guccione, M.D., MPH
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- M.D., MPH
- Enumeration Date
- Jun 24, 2005
- Last Updated
- Oct 25, 2007
Practice Location
- Address
- 2404 NEWBURG RD
- City
- Fortuna
- State
- California
- ZIP Code
- 95540-2818
- Phone
- (707) 725-8770
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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