Provider Demographics
NPI:1891842480
Name:PRICHARD, GAIL A (MD)
Entity Type:Individual
Prefix:DR
First Name:GAIL
Middle Name:A
Last Name:PRICHARD
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:11209 BROCKWAY RD STE 303
Mailing Address - Street 2:
Mailing Address - City:TRUCKEE
Mailing Address - State:CA
Mailing Address - Zip Code:96161-2220
Mailing Address - Country:US
Mailing Address - Phone:305-536-5060
Mailing Address - Fax:844-269-8450
Practice Address - Street 1:11209 BROCKWAY RD STE 303
Practice Address - Street 2:
Practice Address - City:TRUCKEE
Practice Address - State:CA
Practice Address - Zip Code:96161
Practice Address - Country:US
Practice Address - Phone:305-536-5060
Practice Address - Fax:844-269-8450
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG547242084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE95779Medicare UPIN