| Doctor Name: | GARY RAYMOND ROPER |
| NPI Number: | 1043531643 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | BP10037229 |
| Business Practice Address: | 121 Sotoyome St Santa Rosa, CA - 954054823 |
| Business Phone Number: | 7075464062 |
| Business Fax Number: | 7075254095 |
| Mailing Address: | Po Box 5651, ORANGE |
| State: | CA |
| Postal Code: | 928635651 |
| Phone Number: | 7145715000 |
| Fax Number: | 7145715055 |
| NPI Enumeration Date: | 06/17/2010 |
| NPI Last Update Date: | 04/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | BP10037229 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |