Individual
PABLO GARZA CORTINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 S DORA ST, UKIAH, CA 95482-6341
(707) 468-8587
(707) 468-8725
Mailing address
1101 S DORA ST, UKIAH, CA 95482-6341
(707) 468-8587
(707) 468-8725
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
G47561
CA
207VX0000X
Obstetrics Physician
G47561
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G475613
—
CA
Enumeration date
10/06/2006
Last updated
08/21/2012
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