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Organization

R MAKALA ANDERS MD MEDICAL CORPORATION

Active
Other names
Reuben Makala Anders MD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. REUBEN MAKALA ANDERS MD (OWNER)
(707) 938-1423
Entity
Organization

Contact information

Practice address
461 7TH ST W STE 3, SONOMA, CA 95476-5976
(707) 938-1423
Mailing address
461 7TH ST W STE 3, SONOMA, CA 95476-5976
(707) 938-1423

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A79025
CA
207ND0101X
MOHS-Micrographic Surgery Physician
A79025
CA
207ND0900X
Dermatopathology Physician
A79025
CA
207NS0135X
Procedural Dermatology Physician
A79025
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A790251
MEDICARE PTAN
CA
01
BI781
MEDICARE PTAN
CA
Enumeration date
11/18/2008
Last updated
04/17/2023
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