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Individual

DR. ANYA ELIZABETH BANDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1660 SECOND STREET, SAN RAFAEL, CA 94901-2707
(415) 259-0131
(415) 259-0133
Mailing address
1310 COMMERCE STREET, SUITE B, PETALUMA, CA 94954-1469
(707) 778-7862
(707) 778-0969

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A65186
CA
207ND0101X
MOHS-Micrographic Surgery Physician
A65186
CA
207NS0135X
Procedural Dermatology Physician
A65186
CA

Other

Enumeration date
03/30/2007
Last updated
10/15/2010
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