Individual
JOHN DAVID TOMASIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1310 PRENTICE DR, STE G, HEALDSBURG, CA 95448-3384
(707) 433-0126
(707) 433-6674
Mailing address
3536 MENDOCINO AVE, STE 200, SANTA ROSA, CA 95403-3634
(707) 525-6485
(707) 433-6674
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G60256
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
G60256
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G602560
—
CA
Enumeration date
05/22/2006
Last updated
02/08/2012
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