Individual
JOHN J PANAGOTACOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1030 SIR FRANCIS DRAKE BLVD, SUITE 130, KENTFIELD, CA 94904
(415) 578-3110
(888) 578-2544
Mailing address
599 SIR FRANCIS DRAKE BLVD, SUITE 206, GREENBRAE, CA 94904
(415) 578-3110
(888) 578-2544
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A89953
CA
2084V0102X
Vascular Neurology Physician
A89953
CA
Other
Enumeration date
08/05/2007
Last updated
12/16/2018
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