K G GAUNTT DPM PC

NEWBERG, OR
NPI1275770349
Entity TypeOrganization
Authorized ContactKIM GARY GAUNTT
President
503-538-0466
Organization Subpart ?No
Primary Taxonomy213E00000X Podiatrist
(Licence: OR  DP00197)
Enumeration Date2009-01-12
Last Update Date2009-01-12
Business Address
K G GAUNTT DPM PC
410 VILLA ROAD
NEWBERG, OR 97132
Phone number: 503-538-0466
Mailing Address
K G GAUNTT DPM PC
410 VILLA ROAD
NEWBERG, OR 97132
Phone number: 503-538-0466
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