Individual
DR. PETER BERNARD ALBERT PAPPAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
76 BROOKWOOD AVE, SANTA ROSA, CA 95404-4312
(707) 523-2381
(707) 523-2677
Mailing address
76 BROOKWOOD AVE, SANTA ROSA, CA 95404-4312
(707) 523-2381
(707) 523-2677
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
G74506
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G745060
—
CA
01
—
680468716
TAX ID
CA
Enumeration date
11/17/2006
Last updated
07/08/2007
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