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NPI Code Detail

MEDICARE: DANIEL ROBERT TOUB MD

MEDICARE: DANIEL ROBERT TOUB MD
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 PhysicianA66495CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861540486
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL ROBERT TOUB MD
Provider Business Mailing Address
First Line : 3569 ROUND BARN CIR
Second Line :
City : SANTA ROSA
State : CA
Zip : 95403-5781
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3569 ROUND BARN CIR
Second Line :
City : SANTA ROSA
State : CA
Zip : 95403-5781
Country : US
Telephone Number : 707-303-3600
Fax Number : 707-303-3611
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 09/02/2023

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