K G Gauntt Dpm PC

NPI #1366612376 in Newberg, Oregon

Provider Information

NPI Number
1366612376
Entity Type
Organization
Organization Name
K G Gauntt Dpm PC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Mar 5, 2008
Last Updated
May 7, 2013

Practice Location

Address
410 VILLA ROAD
State
Oregon
ZIP Code
97132-1853
Phone
(503) 538-0466

Authorized Official

Name
DR. KIM GARY GAUNTT, DPM
Title
OWNER
Phone
(503) 538-0466

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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