Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | G36363 | CA |
NPI | 1124102298 |
---|---|
Provider Name | Richard T. Zweig |
First Address | Healdsburg, CA 95448-3314 |
Second Address | Santa Rosa, CA 95403-2149 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 23/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G363630 | (05) | CA |
A46662 | (02) |