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Individual

MR. CHRIS EVERETT KERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.P.

Contact information

Practice address
3855 PRINCETON DR, SANTA ROSA, CA 95405-7061
(707) 579-9570
(707) 579-4963
Mailing address
3855 PRINCETON DR, SANTA ROSA, CA 95405-7061
(707) 579-9570
(707) 579-4963

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CPOO1524
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
XB0015240
CA
Enumeration date
05/07/2007
Last updated
07/08/2007
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