Individual
DR. ALLAN STEWART HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 PETALUMA AVE, SUITE C, SEBASTOPOL, CA 95472-4224
(707) 829-8426
(707) 829-6675
Mailing address
555 PETALUMA AVE, SUITE C, SEBASTOPOL, CA 95472-4224
(707) 829-8426
(707) 829-6675
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G50413
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G504130
—
CA
01
—
680454572
TAX ID
CA
Enumeration date
08/11/2005
Last updated
12/15/2011
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