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Gunnar Roll, PA
Medical Physician Assistant in Watsonville, California
NPI 1710917018

Gunnar Roll is a Medical Physician Assistant based in Santa Cruz, CA and is specialized in Medical. Gunnar Roll practices in Watsonville, CA and has the professional credentials of PA. The NPI Number for Gunnar Roll is 1710917018 and holds a License No. PA12560 (California).

The current practice location address for Gunnar Roll is 75 Nielson Street, Watsonville, CA and can be reached out via phone at 408-724-4741.

Location: 75 Nielson Street, Watsonville, CA, 95062-4509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710917018
Provider Name
Gunnar Roll
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
75 Nielson Street, Watsonville, CA, 95062-4509
Phone Number
408-724-4741
Fax Number
Provider Enumeration Date
07/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA16537 05 CA
institution
Provider Business Practice Location Address Details
Address
75 Nielson Street
City
Watsonville
State
California
Zip
95076
Phone Number
408-724-4741
Fax Number
person
Provider Business Mailing Address Details
Address
75 Nielson Street
City
Watsonville
State
California
Zip
95076
Phone Number
408-724-4741
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA12560 (California)
Definition
Definition to come...
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