Michael Gumpert, PA

NPI #1467019398 in Bridgeport, California

Provider Information

NPI Number: 1467019398
Entity Type: Individual
Name: Michael Gumpert, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: May 27, 2019
Last Updated: Feb 14, 2022

Practice Location

Address: BLDG 3005, SR 108
City: Bridgeport
State: California
ZIP Code: 93517-9351
Phone: (760) 932-1616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider	171000000X
Physician Assistant	363A00000X	Primary

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