Individual
RODNEY VAN PELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 LUCE AVE, UKIAH, CA 95482
(707) 463-1782
Mailing address
311 LUCE AVE, UKIAH, CA 95482
(707) 463-1782
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
G065907
CA
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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