Organization
INSTITUTE FOR HEALTH MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT PARK MD (MEDICAL DIRECTOR)
(707) 778-6019
Entity
Organization
Contact information
Practice address
715 SOUTHPOINT BLVD, SUITE C, PETALUMA, CA 94954-6835
(707) 778-6019
(707) 778-6068
Mailing address
715 SOUTHPOINT BLVD, SUITE C, PETALUMA, CA 94954-6835
(707) 778-6019
(707) 778-6068
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G022984
CA
Other
Enumeration date
05/03/2007
Last updated
04/13/2015
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