person
Wallace George Gosney, MD
Vascular Surgery Physician in Upland, California
NPI 1417915778

Wallace George Gosney is a Vascular Surgery Physician based in Upland, CA and is specialized in Vascular Surgery. Wallace George Gosney practices in Upland, CA and has the professional credentials of MD. The NPI Number for Wallace George Gosney is 1417915778 and holds a License No. A19860 (California).

The current practice location address for Wallace George Gosney is 901 San Bernardino Rd, Upland, CA and can be reached out via phone at 909-946-6221 and via fax at 909-949-3802.

Location: 901 San Bernardino Rd, Upland, CA, 91786-4912
person
Provider Profile Details
NPI Number
1417915778
Provider Name
Wallace George Gosney
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
901 San Bernardino Rd, Upland, CA, 91786-4912
Phone Number
909-946-6221
Fax Number
909-949-3802
Provider Enumeration Date
05/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A198600 05 CA
institution
Provider Business Practice Location Address Details
Address
901 San Bernardino Rd
City
State
Zip
91786-4912
Phone Number
909-946-6221
Fax Number
909-949-3802
person
Provider Business Mailing Address Details
Address
901 San Bernardino Rd
City
State
Zip
91786-4912
Phone Number
909-946-6221
Fax Number
909-949-3802
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
A19860 (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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
A19860 (California)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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