Bruce D. Gaynor, M.d., Medical Corporation
NPI #1548334006 in Santa Rosa, California
Provider Information
- NPI Number
- 1548334006
- Entity Type
- Organization
- Organization Name
- Bruce D. Gaynor, M.d., Medical Corporation
- Primary Specialty
- Technician/Technologist - Ophthalmic
- Enumeration Date
- Nov 17, 2006
- Last Updated
- Jun 17, 2008
Practice Location
- Address
- 4720 HOEN AVE
- City
- Santa Rosa
- State
- California
- ZIP Code
- 95405-7867
- Phone
- (707) 527-8222
Authorized Official
- Name
- DR. BRUCE DAVID GAYNOR, M.D.
- Title
- PRESIDENT
- Phone
- (707) 527-8222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
| Technician/Technologist - Ophthalmic — Ophthalmic |
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