institution
Bruce D. Gaynor, M.d., Medical Corporation
Eyewear Supplier in Santa Rosa, California
NPI 1548334006

Bruce D. Gaynor, M.d., Medical Corporation is a Eyewear Supplier based in Santa Rosa, CA. Bruce D. Gaynor, M.d., Medical Corporation practices in Santa Rosa, CA. The NPI Number for Bruce D. Gaynor, M.d., Medical Corporation is 1548334006 and holds a License No. G84535 (California).

The current practice location address for Bruce D. Gaynor, M.d., Medical Corporation is 4720 Hoen Ave, Santa Rosa, CA and can be reached out via phone at 707-527-8222. You can also correspond with Bruce D. Gaynor, M.d., Medical Corporation through the mailing address at 4720 HOEN AVE, SANTA ROSA, CA - 95405-7867 (mailing address contact number: 707-527-8222).

Location: 4720 Hoen Ave, Santa Rosa, CA, 95405-7867
institution
Provider Profile Details
NPI Number
1548334006
Provider Name
Bruce D. Gaynor, M.d., Medical Corporation
Credential
Provider Entity Type
Organization
Address
4720 Hoen Ave, Santa Rosa, CA, 95405-7867
Phone Number
707-527-8222
Fax Number
Provider Enumeration Date
11/17/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
180041368 01 CA MEDICARE RAILROAD
00G845350 05 CA
institution
Provider Business Practice Location Address Details
Address
4720 Hoen Ave
City
State
Zip
95405-7867
Phone Number
707-527-8222
Fax Number
person
Provider Business Mailing Address Details
Address
4720 Hoen Ave
City
State
Zip
95405-7867
Phone Number
707-527-8222
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Ophthalmic
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
License No.
G84535 (California)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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