Individual
MR. ROBERT JOHN ESTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A
Contact information
Practice address
39180 FARWELL DR STE 211, FREMONT, CA 94538
(510) 585-2545
(510) 505-9287
Mailing address
39180 FARWELL DR STE 211, FREMONT, CA 94538-1015
(510) 585-2545
(510) 505-9287
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA12019
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA12019
LICENSE TO PRACTICE
CA
Enumeration date
04/21/2006
Last updated
03/07/2023
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