DR. Gary W. Theall, M.D.

NPI #1982697611 in Warwick, New York

Provider Information

NPI Number: 1982697611
Entity Type: Individual
Name: DR. Gary W. Theall, M.D.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: Aug 29, 2005
Last Updated: Jul 9, 2007

Practice Location

Address: 55 RONALD REAGAN BLVD
City: Warwick
State: New York
ZIP Code: 10990-4105
Phone: (845) 986-4949

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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