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NPI Code Detail

MEDICARE: DR. ROGER MILLS GILBERT M.D.

MEDICARE: DR. ROGER MILLS GILBERT M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0001XRadiation Oncology PhysicianG48646CA

General Provider Information

NPI Number : 1518964642
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROGER MILLS GILBERT M.D.
Provider Business Mailing Address
First Line : 1500 EXPO PKWY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95815-4227
Country : US
Telephone Number : 916-646-8300
Fax Number : 916-920-4434
Provider Business Practice Location Address
First Line : 6511 COYLE AVE
Second Line :
City : CARMICHAEL
State : CA
Zip : 95608-0306
Country : US
Telephone Number : 916-537-5470
Fax Number : 916-537-5465
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2005
Last Update Date : 09/22/2011

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