Individual provider · Type 1 NPI

Jack L. Guccione, MD, MPH

Specialist · Fortuna, CA

NPI number 1174529010 Active

Practice location

2404 Newburg Rd
Fortuna, CA 95540-2818

Call (707) 725-8770 Map

Fax (707) 725-8773

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XG66333 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1174529010

Jack L. Guccione, MD, MPH's National Provider Identifier is 1174529010, issued on Jun 24, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fortuna, CA. The record was last updated on Oct 25, 2007.