Individual
DR. JEROME BRIAN RIEBMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3421 VILLA LN, SUITE 2A, NAPA, CA 94558-6402
(707) 254-9640
(707) 254-9698
Mailing address
5906 SAILING HAWK AVE, SANTA ROSA, CA 95409-7313
(707) 538-5503
(707) 538-5507
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G79642
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G796420
—
CA
Enumeration date
07/01/2006
Last updated
05/18/2008
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