DR. JACK GUCCIONE, M.D., MPH
Specialist
Active
Individual
NPI: 1174529010
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist | 174400000X | Yes | G66333 (CA) |
Frequently Asked Questions
NPI 1174529010 is the National Provider Identifier for DR. JACK GUCCIONE, M.D., MPH, a Specialist provider located in Fortuna, CA. This NPI was enumerated on June 24, 2005.
DR. JACK GUCCIONE, M.D., MPH practices at 2404 NEWBURG RD, Fortuna, CA 95540.
Quick Facts
- NPI
- 1174529010
- Type
- Individual
- Enumerated
- Jun 24, 2005
- Last Updated
- Oct 25, 2007
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