Individual
PAMELA MAUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 DOYLE PARK DR STE G04, SANTA ROSA, CA 95405-4559
(707) 576-7100
Mailing address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL, CHARLESTON, SC 29425-8905
(843) 792-4074
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MMD.33649 LL
SC
207RC0000X
Cardiovascular Disease Physician
Primary
A168307
CA
Other
Enumeration date
06/16/2011
Last updated
09/27/2022
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