# TERI BILHARTZ MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bilhartz Women's Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790100519
- **Authorized official:** MR. SCOTT MAXWELL (MANAGER)
- **Authorized official phone:** (707) 654-9777

## Contact information

- **Practice address:** 480 REDWOOD ST, SUITE 14, VALLEJO, CA 94590-2958
- **Practice address phone:** (707) 654-9777
- **Practice address fax:** (707) 812-1910
- **Mailing address:** 480 REDWOOD ST, SUITE 14, VALLEJO, CA 94590-2958
- **Mailing address phone:** (707) 654-9777
- **Mailing address fax:** (707) 812-1910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | 20A12229 | CA | — |
| 208D00000X | General Practice Physician | 20A12229 | CA | Yes |

## Other

- **Enumeration date:** 03/03/2014
- **Last updated:** 07/07/2015