Individual
OTIS EUGENE ROUNDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2023 VALE RD, SUITE 211, SAN PABLO, CA 94806-3834
(510) 231-0955
Mailing address
2023 VALE RD, SUITE 211, SAN PABLO, CA 94806-3834
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G37795
CA
208M00000X
Hospitalist Physician
Primary
G37795
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G37795
—
CA
Enumeration date
07/05/2007
Last updated
12/06/2017
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