Organization · Type 2 NPI

Agewell Pace

General Practice Physician · Rohnert Park, CA

NPI number 1437833597 Active

Practice location

5789 State Farm Dr Ste 110
Rohnert Park, CA 94928-6308

Call (707) 615-4437 Map

Fax (707) 615-6955

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XNone listed
General Practice Physician Primary 208D00000XNone listed
Clinic/Center 261Q00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

About NPI 1437833597

Agewell Pace's National Provider Identifier is 1437833597, issued on Jun 9, 2023. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Rohnert Park, CA. The record was last updated on Jun 9, 2023.