Individual
DR. LEAH BETH RORVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.S.
Contact information
Practice address
1179 N MCDOWELL BLVD, PETALUMA, CA 94954-6559
(707) 559-7500
(707) 559-7620
Mailing address
1179 N MCDOWELL BLVD, PETALUMA, CA 94954-6559
(707) 559-7500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A138658
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
A138658
CA
Other
Enumeration date
05/14/2014
Last updated
11/02/2021
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