Organization
PETER A VON ROGOV MDA PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER A VON ROGOV MD (PRESIDENT)
(415) 749-5743
Entity
Organization
Contact information
Practice address
2100 WEBSTER ST STE 300, SAN FRANCISCO, CA 94115
(415) 749-5743
(415) 673-4971
Mailing address
2100 WEBSTER ST STE 300, SAN FRANCISCO, CA 94115
(415) 749-5743
(415) 673-4971
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A23061
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0014400
—
CA
Enumeration date
01/30/2008
Last updated
10/23/2008
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