Individual
DR. EUGENE BELOGORSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
585 W COLLEGE AVE, SUITE A, SANTA ROSA, CA 95401-5000
(707) 526-3500
(707) 526-2358
Mailing address
585 W COLLEGE AVE, SUITE A, SANTA ROSA, CA 95401-5000
(707) 526-3500
(707) 526-2358
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G29625
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G296253
—
CA
01
—
ZZZ51167Z
GROUPONE HEALTHSOURCE LLC
CA
Enumeration date
07/09/2006
Last updated
10/15/2021
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