Organization
BRIAN E DEMUTH MD A PROFESSIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN E. DEMUTH MD (PHYSICIAN)
(415) 464-0184
Entity
Organization
Contact information
Practice address
1000 S ELISEO DR STE 101, GREENBRAE, CA 94904-2150
(415) 464-0184
(415) 464-0295
Mailing address
1000 S ELISEO DR STE 101, GREENBRAE, CA 94904-2150
(415) 464-0184
(415) 464-0295
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G602230
CA
Other
Enumeration date
10/09/2007
Last updated
01/29/2008
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