Healthcare Provider Details

I. General information

NPI: 1528099439
Provider Name (Legal Business Name): RICHARD HELMUT ROLFES DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 04/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

595 BUCKINGHAM WAY STE 330
SAN FRANCISCO CA
94132-1909
US

IV. Provider business mailing address

595 BUCKINGHAM WAY STE 330
SAN FRANCISCO CA
94132-1909
US

V. Phone/Fax

Practice location:
  • Phone: 415-731-6700
  • Fax: 415-759-8637
Mailing address:
  • Phone: 415-731-6700
  • Fax: 415-759-8637

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberE3303
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: