Smith, Gabriel Gordon

Smith, Gabriel Gordon is an individual health care provider with primary practice located at 750 Redwood Hwy Ste 1204 Ste 1204, Mill Valley CA 94941-2483. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Smith, Gabriel Gordon can be contacted via phone (415) 384-4778.

Contact Information

Primary practice address
750 Redwood Hwy Ste 1204 Ste 1204 Mill Valley CA 94941-2483
Phone: (415) 384-4778
Fax: (415) 384-4779
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5325 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 58405 California

Profile Details

NPI number 1376716084
LBN Legal business name Smith, Gabriel Gordon
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2008
Last updated Oct 19th, 2020 - about 4 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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