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“Addiction Medicine (preventive Medicine) Physician” (Santa Rosa, CA)

Location: Santa Rosa, CA
Taxonomy: Addiction Medicine (preventive Medicine) 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.
1093249864 — MYLES JULIAN KETCHUM M.D., PH.D.
Practice Location Address:
2360 MENDOCINO AVE
SANTA ROSA CA
95403-3153
Practice Phone: 707-573-5250

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