Individual
DR. PAUL T. KEFALIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
98 MONTGOMERY DR, STE C, SANTA ROSA, CA 95404-6615
(707) 591-0619
(707) 591-0617
Mailing address
98 MONTGOMERY DR, STE C, SANTA ROSA, CA 95404-6615
(707) 591-0619
(707) 591-0617
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A75614
CA
Other
Enumeration date
09/20/2006
Last updated
12/15/2021
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