Individual
DR. DANIEL NOTZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 SMITH RANCH RD, SAN RAFAEL, CA 94903-1939
(646) 783-2594
Mailing address
111 SMITH RANCH RD, SAN RAFAEL, CA 94903-1939
(646) 783-2594
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
259028
NY
2084P0802X
Addiction Psychiatry Physician
Primary
A143089
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2009
Last updated
12/17/2021
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