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Individual

ROBERT JAMES

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
G62449
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G624490
CA
01
ZZZ19545Z
BLUE SHIELD
CA
Enumeration date
07/19/2006
Last updated
11/03/2021
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