Individual
DR. ROBERT B. DOMUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2356 SUTTER ST, SAN FRANCISCO, CA 94115-3006
(415) 885-7788
(415) 885-7718
Mailing address
1635 DIVISADERO STREET, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G17693
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G176930
—
CA
Enumeration date
06/11/2006
Last updated
07/21/2008
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