Organization
RALPH T. MITARAI, M.D., PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH T MITARAI M.D. (PRESIDENT)
(707) 938-1480
Entity
Organization
Contact information
Practice address
347 ANDRIEUX ST, SONOMA, CA 95476-6811
(707) 938-1480
(707) 938-1758
Mailing address
PO BOX 2311, CHATSWORTH, CA 91313-2311
(818) 718-9500
(818) 718-9507
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
09/09/2005
Last updated
01/12/2009
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