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Elaine Therese Van Gundy, MD,FAAP
Specialist in Roseville, California
NPI 1174565485

Elaine Therese Van Gundy is a Specialist based in Roseville, CA. Elaine Therese Van Gundy practices in Roseville, CA and has the professional credentials of MD,FAAP. The NPI Number for Elaine Therese Van Gundy is 1174565485 and holds a License No. C43153 (California).

The current practice location address for Elaine Therese Van Gundy is 1451 Secret Ravine Pkwy, Roseville, CA and can be reached out via phone at 916-580-2420 and via fax at 916-580-2402.

Location: 1451 Secret Ravine Pkwy, Roseville, CA, 95661-4051
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174565485
Provider Name
Elaine Therese Van Gundy
Credential
MD,FAAP
Provider Entity Type
Individual
Gender
Female
Address
1451 Secret Ravine Pkwy, Roseville, CA, 95661-4051
Phone Number
916-580-2420
Fax Number
916-580-2402
Provider Enumeration Date
06/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00C431530 05 CA
institution
Provider Business Practice Location Address Details
Address
1451 Secret Ravine Pkwy
City
Roseville
State
California
Zip
95661-4051
Phone Number
916-580-2420
Fax Number
916-580-2402
person
Provider Business Mailing Address Details
Address
1451 Secret Ravine Pkwy
City
Roseville
State
California
Zip
95661-4051
Phone Number
916-580-2420
Fax Number
916-580-2402
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
C43153 (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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