Gentry, Michael D

Gentry, Michael D is an individual health care provider with primary practice located at 400 N Pepper Ave , Colton CA 92324-1819. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Gentry, Michael D can be contacted via phone (909) 580-1520.

Contact Information

Primary practice address
400 N Pepper Ave Colton CA 92324-1819
Fax: (909) 580-1561
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A75740 California

Profile Details

NPI number 1013196575
LBN Legal business name Gentry, Michael D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2007
Last updated Jan 20th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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