Individual
DR. DAVID ALLEN CHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 MONTGOMERY DR, SANTA ROSA, CA 95405-4815
(707) 542-1207
(707) 542-9837
Mailing address
1120 MONTGOMERY DR, SANTA ROSA, CA 95405-4815
(707) 542-1207
(707) 542-9837
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G24411
CA
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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