| Doctor Name: | DR. PETER VOKES MADILL |
| NPI Number: | 1215941141 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | A31200 |
| Business Practice Address: | 1020 Gravenstein Ave Suite 120 Sebastopol, CA - 954724569 |
| Business Phone Number: | 7078233312 |
| Business Fax Number: | 7078234901 |
| Mailing Address: | 1020 Gravenstein Hwy. So., Suite 120 SEBASTOPOL |
| State: | CA |
| Postal Code: | 954724569 |
| Phone Number: | 7078233312 |
| Fax Number: | 7078234901 |
| NPI Enumeration Date: | 07/28/2006 |
| NPI Last Update Date: | 08/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | A31200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |