Individual provider · NPI-1

Dr. Jonathan Allen Gant, M.D.

Orthopaedic Surgery, Hand Surgery · Roseville, CA

NPI number1720295231
StatusActive
Last updated in NPPESSep 5, 2012

Details

NPI
1720295231
Entity type
Individual (NPI-1)
Name
Dr. Jonathan Allen Gant
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
May 16, 2007
Last updated
Sep 5, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207XS0106X Orthopaedic Surgery, Hand SurgeryA122003CAYes
207X00000X Orthopaedic Surgery57011782OH

Practice location

Three Medical Plaza
Suite 110
Roseville, CA 95661-3088

Phone 916-797-4725 · Fax 916-797-4726

Mailing address

P.O. Box 255228
Sacramento, CA 95865-5228

Phone 800-470-0071

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