Individual
DR. JESSE EARL RATHBUN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1920 GRACE DR., SANTA ROSA, CA 95404
(707) 528-1671
Mailing address
1920 GRACE DR., SANTA ROSA, CA 95404
(707) 528-1671
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A22086
CA
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
A22086
CA
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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