Jack L. Guccione
NPI #1679681670 in Fortuna, California
Provider Information
- NPI Number
- 1679681670
- Entity Type
- Organization
- Organization Name
- Jack L. Guccione
- Primary Specialty
- Specialist
- Enumeration Date
- Aug 29, 2006
- Last Updated
- Nov 19, 2012
Practice Location
- Address
- 2404 NEWBURG RD
- City
- Fortuna
- State
- California
- ZIP Code
- 95540-2818
- Phone
- (707) 725-8770
Authorized Official
- Name
- DR. JACK L. GUCCIONE, MD, MPH
- Title
- DIRECTOR
- Phone
- (707) 725-8770
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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