Individual
JAMES R PALLESCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 4TH ST, SUITE 200, SANTA ROSA, CA 95404-3658
(707) 525-4051
(707) 525-1033
Mailing address
1701 4TH ST, SUITE 200, SANTA ROSA, CA 95404-3658
(707) 525-4051
(707) 525-1033
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A24352
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A243520
—
CA
01
—
ZZZ19545Z
BLUE SHIELD
CA
Enumeration date
07/20/2006
Last updated
10/21/2016
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