Organization Name: | ROBERT E BELKNAP MD INC |
NPI Number: | 1205009164 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT E BELKNAP (CEO) |
Mailing Address: | 655 Redwood Hwy Mill Valley |
State: | CA US |
Postal Code: | 949413034 |
Phone Number: | 4153840506 |
Fax Number: | 4153840569 |
NPI Enumeration Date: | 04/10/2008 |
NPI Last Update Date: | 04/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | A24275 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |