Individual
RUSSELL PAUL KAGEYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
200 MUIR RD, MARTINEZ, CA 94553-4614
(925) 313-4740
Mailing address
200 MUIR RD, MARTINEZ, CA 94553-4614
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
20A14498
CA
Other
Enumeration date
04/23/2014
Last updated
12/17/2021
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