Individual
JOHNATHAN EMAD AGIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1165 MONTGOMERY DR, SANTA ROSA, CA 95405-4801
(707) 525-5300
Mailing address
1165 MONTGOMERY DR, SANTA ROSA, CA 95405-4801
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A183723
CA
208D00000X
General Practice Physician
ME158567
FL
Other
Enumeration date
03/25/2020
Last updated
07/19/2023
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