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NPI Code Detail

MEDICARE: DR. CYNTHIA ALLENA PILGRIM M.D.

MEDICARE: DR. CYNTHIA ALLENA PILGRIM M.D.
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
12084P0800XPsychiatry Physician125051109IL

General Provider Information

NPI Number : 1851554588
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CYNTHIA ALLENA PILGRIM M.D.
Provider Business Mailing Address
First Line : 2225 CHALLENGER WAY
Second Line :
City : SANTA ROSA
State : CA
Zip : 95407-5441
Country : US
Telephone Number : 707-565-4850
Fax Number :
Provider Business Practice Location Address
First Line : 2225 CHALLENGER WAY
Second Line :
City : SANTA ROSA
State : CA
Zip : 95407-5441
Country : US
Telephone Number : 707-565-4850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2008
Last Update Date : 05/07/2020

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