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“Psychiatry Physician” (San Quentin, CA)

Location: San Quentin, CA
Taxonomy: Psychiatry Physician.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1043554116 — DR. STEVEN CHARLES GIBBS MD
Practice Location Address:
1 MAIN ST CALIFORNIA STATE PRISON, MENTAL HEALTH DEPT.
SAN QUENTIN CA
94964-1000
Practice Phone: 415-454-1460
1518958743 — DR. BRADLEY KENNETH DEAL M.D.
Practice Location Address:
13 MAIN ST. SAN QUENTIN PRISON
SAN QUENTIN CA
94964
Practice Phone: 415-454-1460
1538464912 — AMAR MEHTA M.D.
Practice Location Address:
1 MAIN ST
SAN QUENTIN CA
94964-1000
Practice Phone: 415-454-1460
1689715120 — NICOLE TERESE SUPROVICI MD
Practice Location Address:
1 MAIN ST
SAN QUENTIN CA
94964-1000
Practice Phone: 415-454-1460
1760636864 — HARUN EVCIMEN M.D.
Practice Location Address:
1 MAIN ST. H-UNIT YARD TELE PSYCHIATRY CDCR SAN QUETIN STATE PRISON
SAN QUENTIN CA
94964
Practice Phone: 415-454-1460
1780880088 — PAUL BURTON M.D.
Practice Location Address:
1 MAIN ST CHSB-5TH FLOOR
SAN QUENTIN CA
94964-1000
Practice Phone: 415-820-1581
1811247810 — DR. DEVIN MICHAEL STROMAN M.D.
Practice Location Address:
1 MAIN ST
SAN QUENTIN CA
94964-1000
Practice Phone: 415-454-1460

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