Individual
JEFFREY THOMAS AMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1615 HILL RD, STE E, NOVATO, CA 94947-4338
(415) 898-4828
(415) 898-4878
Mailing address
1615 HILL RD, STE E, NOVATO, CA 94947-4338
(415) 898-4828
(415) 898-4878
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3461
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E34610
—
CA
Enumeration date
12/16/2005
Last updated
02/15/2017
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