Individual
GREGG TOLLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100A DRAKE'S LANDING ROAD, STE 225, GREENBRAE, CA 94904
(415) 924-1214
(415) 924-1375
Mailing address
100A DRAKE'S LANDING ROAD, STE 225, GREENBRAE, CA 94904
(415) 924-1214
(415) 924-1375
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A88295
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A882950
—
CA
01
—
1346286465
TYPE 1 NPI
CA
Enumeration date
06/20/2006
Last updated
08/18/2011
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