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General NPI Number Information
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NPI Number | 1518964642
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Entity Type | Individual
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Provider Name | ROGER MILLS GILBERT M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/05/2005
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Last Update Date | 09/22/2011
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Provider Practice Location Address
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Address Line | 6511 COYLE AVE
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City | CARMICHAEL
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State | CA
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Zip | 95608-0306
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Country | US
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Telephone | 916-537-5470
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Fax | 916-537-5465
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Provider Business Mailing Address
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Address Line | 1500 EXPO PKWY
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City | SACRAMENTO
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State | CA
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Zip | 95815-4227
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Country | US
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Telephone | 916-646-8300
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Fax | 916-920-4434
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | G48646
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License Number State | CA
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