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North Bay Dermatology Associates
Specialist in Petaluma, California
NPI 1275622664

North Bay Dermatology Associates is a Specialist based in Petaluma, CA. North Bay Dermatology Associates practices in Petaluma, CA. The NPI Number for North Bay Dermatology Associates is 1275622664 and holds a License No. (California).

The current practice location address for North Bay Dermatology Associates is 106 Lynch Creek Way, Petaluma, CA and can be reached out via phone at 707-763-6816 and via fax at 707-763-1730.

Location: 106 Lynch Creek Way, Petaluma, CA, 94954-2356
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275622664
Provider Name
North Bay Dermatology Associates
Credential
Provider Entity Type
Organization
Address
106 Lynch Creek Way, Petaluma, CA, 94954-2356
Phone Number
707-763-6816
Fax Number
707-763-1730
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
J5792 01 CA RAILTOAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
106 Lynch Creek Way
City
Petaluma
State
California
Zip
94954-2356
Phone Number
707-763-6816
Fax Number
707-763-1730
person
Provider Business Mailing Address Details
Address
106 Lynch Creek Way
City
Petaluma
State
California
Zip
94954-2356
Phone Number
707-763-6816
Fax Number
707-763-1730
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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