Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 25117 | MS |
Y | 207P00000X | Emergency Physician | 77569 | GA |
N | 207P00000X | Emergency Physician | A154171 | CA |
NPI | 1013328780 |
---|---|
Provider Name | Dr. Gabriel William Tonkin |
First Address | Monterey, CA 93940-7885 |
Second Address | Jackson, MS 39216 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2014 |
Last Update Date | 17/03/2018 |