Provider Demographics
NPI:1437120425
Name:GRICE, GUERARD PASCHAL JR (MD, DDS)
Entity Type:Individual
Prefix:DR
First Name:GUERARD
Middle Name:PASCHAL
Last Name:GRICE
Suffix:JR
Gender:M
Credentials:MD, DDS
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Mailing Address - Street 1:NAVAL MEDICAL CENTER, 34800 BOB WILSON DR.
Mailing Address - Street 2:LAB DEPT EDA. SUITE 305
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92134-1305
Mailing Address - Country:US
Mailing Address - Phone:619-532-6852
Mailing Address - Fax:619-532-9403
Practice Address - Street 1:NAVAL MEDICAL CENTER, 34800 BOB WILSON DR.
Practice Address - Street 2:LAB DEPT EDA. SUITE 305
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92134-1305
Practice Address - Country:US
Practice Address - Phone:619-532-6852
Practice Address - Fax:619-532-9403
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-30
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
FLME 58620207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology