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Dr. Jack L Guccione, MD,MPH
Specialist in Fortuna, California
NPI 1174529010

Jack L Guccione is a Specialist based in Fortuna, CA. Jack L Guccione practices in Fortuna, CA and has the professional credentials of MD,MPH. The NPI Number for Jack L Guccione is 1174529010 and holds a License No. G66333 (California).

The current practice location address for Jack L Guccione is 2404 Newburg Rd, Fortuna, CA and can be reached out via phone at 707-725-8770 and via fax at 707-725-8773.

Location: 2404 Newburg Rd, Fortuna, CA, 95540-2818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174529010
Provider Name
Jack L Guccione
Credential
MD,MPH
Provider Entity Type
Individual
Gender
Male
Address
2404 Newburg Rd, Fortuna, CA, 95540-2818
Phone Number
707-725-8770
Fax Number
707-725-8773
Provider Enumeration Date
06/24/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2404 Newburg Rd
City
Fortuna
State
California
Zip
95540-2818
Phone Number
707-725-8770
Fax Number
707-725-8773
person
Provider Business Mailing Address Details
Address
2404 Newburg Rd
City
Fortuna
State
California
Zip
95540-2818
Phone Number
707-725-8770
Fax Number
707-725-8773
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G66333 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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