Doctor Name: | RICHARD M APOLLO |
NPI Number: | 1558408278 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | G51648 |
Business Practice Address: | 61 Camino Alto Suite 104 Mill Valley, CA - 94941 |
Business Phone Number: | 4153885170 |
Business Fax Number: | 4153885115 |
Mailing Address: | 61 Camino Alto, Suite 104 MILL VALLEY |
State: | CA |
Postal Code: | 94941 |
Phone Number: | 4153885170 |
Fax Number: | 4153885115 |
NPI Enumeration Date: | 01/31/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G51648 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |