Individual provider · Type 1 NPI

Anson Keith Gulliver

Military Health Care Provider · Fairfield, CA

NPI number 1487593885 Active

Practice location

101 Bodin Cir
Fairfield, CA 94535-1809

Call (707) 423-3000 Map

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1487593885

Anson Keith Gulliver's National Provider Identifier is 1487593885, issued on Mar 28, 2026. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Fairfield, CA. The record was last updated on Jun 11, 2026.