Organization
DENNIS M. MCLEOD, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS M MCLEOD M.D. (OWNER)
(707) 762-3561
Entity
Organization
Contact information
Practice address
106 LYNCH CREEK WAY, SUITE 9A, PETALUMA, CA 94954-2356
(707) 762-3561
(707) 762-5174
Mailing address
1310 COMMERCE ST, SUITE B, PETALUMA, CA 94954-1469
(707) 778-7862
(707) 778-0969
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G22981
CA
Other
Enumeration date
05/22/2007
Last updated
08/16/2007
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