Individual provider · Type 1 NPI

Elaine Therese Van Gundy, MD, F.A.A.P.

Specialist · Roseville, CA

NPI number 1174565485 Active

Practice location

1451 Secret Ravine Pkwy, Suite 150
Roseville, CA 95661-4051

Call (916) 580-2420 Map

Fax (916) 580-2402

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XC43153 (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 1174565485

Elaine Therese Van Gundy, MD, F.A.A.P.'s National Provider Identifier is 1174565485, issued on Jun 12, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Roseville, CA. The record was last updated on Jul 9, 2007.