Organization · Type 2 NPI
Bouch Medical Corporation
General Practice Physician · Sebastopol, CA
NPI number
1720467962
Active
Practice location
435 Petaluma Ave Ste 150
Sebastopol, CA 95472-4273
Fax (707) 823-8568
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 393692 (CA) |
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 20A9470 (CA) |
| Internal Medicine Physician | 207R00000X | G55518 (CA) |
| General Practice Physician Primary | 208D00000X | G35969 (CA) |
| General Practice Physician | 208D00000X | ND-353 (CA) |
| General Practice Physician | 208D00000X | ND-613 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
3 other providers at this address
Other general practice physician providers in Sebastopol
About NPI 1720467962
Bouch Medical Corporation's National Provider Identifier is 1720467962, issued on May 20, 2015. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Sebastopol, CA. The record was last updated on May 20, 2015.