J. TALISMAN POMEROY IV M.D. NPI 1861697328

NPI Information

J. TALISMAN POMEROY, IV, M.D. is a specialist in Soquel, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. J. TALISMAN POMEROY, IV, M.D. NPI is 1861697328. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is J. Talisman Pomeroy, Iv, M.d..

The provider's business location address is:

3035 N MAIN ST
SOQUEL, CA
ZIP 95073-204
Phone: (831) 462-8750
Fax: (831) 475-5713

The provider's authorized official is Marlyn Tashiro .
The authorized official title is Medical Biller and has the following contact phone number (831) 462-8755.

The enumeration date for this NPI number is 6/15/2007 and was last updated on 11/27/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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