Organization
KEITH F KORVER MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH KORVER (PRESIDENT)
(707) 569-7860
Entity
Organization
Contact information
Practice address
3536 MEDOCINO AVENUE SUITE 200, SANTA ROSA, CA 95403
(707) 573-6166
Mailing address
3510 UNOCAL PL STE 207, SANTA ROSA, CA 95403-0918
(707) 569-7860
(707) 545-5408
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G0522350
CA
Other
Enumeration date
12/04/2006
Last updated
07/15/2021
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