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NPI Code Detail

MEDICARE: DR. RALPH STEVEN PULVERMAN D.O.

MEDICARE:  DR. RALPH STEVEN PULVERMAN  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician20A4404CA

General Provider Information

NPI Number : 1093760092
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RALPH STEVEN PULVERMAN D.O.
Provider Business Mailing Address
First Line : 224 15TH AVE
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94118
Country : US
Telephone Number : 415-525-1160
Fax Number : 909-591-1309
Provider Business Practice Location Address
First Line : 19270 SONOMA HIGHWAY 12
Second Line :
City : SONOMA
State : CA
Zip : 95476-5414
Country : US
Telephone Number : 707-939-6070
Fax Number : 707-939-6077
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2006
Last Update Date : 08/04/2014

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Directions to “ DR. RALPH STEVEN PULVERMAN D.O.” Practice Location

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