Individual
MAREK BOZDECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 SOTOYOME ST, SANTA ROSA, CA 95405-4823
(707) 546-4062
(707) 525-4071
Mailing address
121 SOTOYOME ST, SANTA ROSA, CA 95405-4823
(707) 546-4062
(707) 525-4071
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G29386
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G293860
—
CA
Enumeration date
07/16/2006
Last updated
02/17/2015
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