Individual
DR. ANDREW BURNS ASHCROFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1179 N MCDOWELL BLVD, PETALUMA, CA 94954-6559
(707) 559-7500
(707) 559-7510
Mailing address
1179 N MCDOWELL BLVD, PETALUMA, CA 94954-6559
(707) 559-7500
(707) 559-7510
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A96865
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A96865
LICENSE
CA
05
—
BCP70696F
—
CA
05
—
FHC70696F
—
CA
05
—
HAP70696F
—
CA
01
—
ZZZ18742Z
ISSUER MEDICARE
CA
Enumeration date
09/19/2005
Last updated
10/18/2011
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