Individual
BRIAN JOEL LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 MATHER RD, SAN ANSELMO, CA 94960-1047
(415) 454-2676
Mailing address
50 MATHER RD, SAN ANSELMO, CA 94960-1047
(415) 454-2676
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G26437
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G264370
—
CA
Enumeration date
11/01/2006
Last updated
08/07/2007
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