Doctor Name: | MICHAEL D GENTRY |
NPI Number: | 1013196575 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | A75740 |
Business Practice Address: | 400 N Pepper Ave Colton, CA - 923241819 |
Business Phone Number: | 9095801520 |
Business Fax Number: | 9095801561 |
Mailing Address: | Po Box 26060, FRESNO |
State: | CA |
Postal Code: | 937296060 |
Phone Number: | 5594554000 |
Fax Number: | 5594554004 |
NPI Enumeration Date: | 10/31/2007 |
NPI Last Update Date: | 01/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | A75740 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |