Organization
RALPH E DILISIO MD FCCP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH E DILISIO MD (PRESIDENT)
(707) 526-3500
Entity
Organization
Contact information
Practice address
585 W COLLEGE AVE STE A, SANTA ROSA, CA 95401-5060
(707) 526-3500
(707) 526-2358
Mailing address
585 W COLLEGE AVE STE A, SANTA ROSA, CA 95401-5060
(707) 526-3500
(707) 526-2358
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
00G873970
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G873970
—
CA
Enumeration date
02/19/2010
Last updated
02/19/2010
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