Individual provider · Type 1 NPI

Emily Ruthanne Gentry, PA-C

Surgical Physician Assistant · Fremont, CA

NPI number 1235893645 Active

Practice location

39141 Civic Center Dr Ste 335
Fremont, CA 94538-5878

Fax (510) 742-8244

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA60937 (CA)
Surgical Physician Assistant Primary 363AS0400XPA60937 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1235893645

Emily Ruthanne Gentry, PA-C's National Provider Identifier is 1235893645, issued on Oct 22, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fremont, CA. The record was last updated on Mar 29, 2022.