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Contact Information

GUNNAR ROLL, PA
75 NIELSON STREET
WATSONVILLE, CA95076
 Phone: 408-724-4741
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for GUNNAR ROLL · (Male)

NPI # 1710917018
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 07/03/2006
Last updated 12/03/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PA12560
  • CA Medicaid PA16537
Hospital affiliation(s)
  • SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ - (Acute Care)
    2900 CHANTICLEER AVENUE
    SANTA CRUZ, CA 95065
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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