Individual
ALEX BARCHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1125 SIR FRANCIS DRAKE BLVD, KENTFIELD, CA 94904-1418
(415) 485-3508
(415) 485-3507
Mailing address
1125 SIR FRANCIS DRAKE BLVD, KENTFIELD, CA 94904-1418
(415) 485-3508
(415) 485-3507
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A42890
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A428900
—
CA
Enumeration date
07/26/2006
Last updated
11/23/2010
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