Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | A147017 | CA |
NPI | 1386023877 |
---|---|
Provider Name | Dr. Joshua Biddle |
First Address | San Rafael, CA 94901-1346 |
Second Address | Greenbrae, CA 94904-2011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2015 |
Last Update Date | 14/05/2021 |