Organization
BRYAN M. PEREIRA, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN MICHAEL PEREIRA M.D. (PRESIDENT AND MEDICAL DIRECTOR)
(707) 546-3952
Entity
Organization
Contact information
Practice address
1111 SONOMA AVE, SUITE # 320, SANTA ROSA, CA 95405
(707) 546-3592
(707) 546-3990
Mailing address
2777 YULUPA AVENUE, SUITE # 274, SANTA ROSA, CA 95405
(707) 546-3592
(707) 546-3990
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
39920
WI
207T00000X
Neurological Surgery Physician
Primary
A-70278
CA
207T00000X
Neurological Surgery Physician
A70278
CA
Other
Enumeration date
03/09/2011
Last updated
04/14/2011
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