Individual
CHARLES ROYAL REPPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA13860
Contact information
Practice address
27200 CALAROGA AVE, ST. ROSE HOSPITAL, HAYWARD, CA 94545-4339
(510) 264-4000
Mailing address
2410 RUSSELL ST, APT. #C, BERKELEY, CA 94705-2077
(510) 843-1235
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
PA13860
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA13860
PHYSICIAN ASSISTANT
CA
Enumeration date
01/29/2007
Last updated
07/08/2007
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