Individual
ROBERT ALLEN MICKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
3838 CALIFORNIA ST, SUITE 505, SAN FRANCISCO, CA 94118-1522
(415) 751-4914
(415) 751-1414
Mailing address
112 HOWARD DR, TIBURON, CA 94920-1448
(415) 999-2884
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G43934
CA
Other
Enumeration date
08/30/2006
Last updated
09/23/2021
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