Individual
STEPHEN J DENIGRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1383 N MCDOWELL BLVD, STE110, PETALUMA, CA 94954-1187
(707) 766-9852
(707) 766-1749
Mailing address
PO BOX 27385, SAN FRANCISCO, CA 94127-0385
(415) 668-9371
(415) 668-9191
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G87469
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G874690
—
CA
Enumeration date
08/16/2006
Last updated
11/13/2012
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