Individual
DR. PETER RILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1125 SIR FRANCIS DRAKE BLVD, KENTFIELD, CA 94904-1418
(415) 485-3200
Mailing address
PO BOX 160, SAUSALITO, CA 94966-0160
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G41912
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G41912
STATE LICENSE
CA
Enumeration date
03/07/2008
Last updated
03/07/2008
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