Individual provider · Type 1 NPI

Russell Leonard Sandberg, MD

Addiction Medicine (Internal Medicine) Physician · San Rafael, CA

NPI number 1265522528 Active

Practice location

1466 Lincoln Ave
San Rafael, CA 94901-2021

Fax (415) 457-0849

Mailing address

433 The Alameda
San Anselmo, CA 94960-1210

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Internal Medicine) Physician Primary 207RA0401XG26538 (CA)

Addiction Medicine (Internal Medicine) Physician: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

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About NPI 1265522528

Russell Leonard Sandberg, MD's National Provider Identifier is 1265522528, issued on Oct 14, 2006. The primary taxonomy on file is Addiction Medicine (Internal Medicine) Physician (207RA0401X), and the practice location is in San Rafael, CA. The record was last updated on Dec 1, 2011.