BRUCE D. GAYNOR, M.D., MEDICAL CORPORATION
Optometry at Hoen Ave, Santa Rosa, CA

License number
California G84535
Category
Optometry
Type
Ophthalmic
Owner
Name: DR. BRUCE DAVID GAYNOR M.D.
Title: PRESIDENT
Phone: (707) 527-8222
Address
Address
4720 Hoen Ave, Santa Rosa, CA 95405
National Provider ID: 1548334006
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BRUCE D. GAYNOR, M.D., MEDICAL CORPORATION

4720 Hoen Ave, Santa Rosa, CA 95405

Status:
Inactive
Industry:
Health/Allied Services
Registration:
Aug 8, 2000
State ID:
C2256543
Business type:
Articles of Incorporation
President:
Bruce D. Gaynor President, inactive
Agent:
Bruce D Gaynor,Santa Rosa, CA 95405 (Physical)

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