Individual
DR. PETER MICHAEL VILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MSPH
Contact information
Practice address
899 NORTHGATE DR STE 110, SAN RAFAEL, CA 94903-3664
(415) 684-8452
Mailing address
899 NORTHGATE DR STE 110, SAN RAFAEL, CA 94903-3664
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036148655
IL
207Y00000X
Otolaryngology Physician
2012018189
MO
207YS0123X
Facial Plastic Surgery Physician
036148655
IL
Other
Enumeration date
06/28/2012
Last updated
03/02/2021
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