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RICHARD JOSEPH KERBAVAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2316 DWIGHT WAY, BERKELEY, CA 94704
(510) 845-4500
(510) 845-0360
Mailing address
2316 DWIGHT WAY, BERKELEY, CA 94704
(510) 845-4500
(510) 845-0360

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G432250
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G432250
CA
01
G43225
STATE LICENSE
CA
Enumeration date
06/23/2006
Last updated
10/20/2014
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