NORTH BAY DERMATOLOGY ASSOCIATES is a specialist in Petaluma, 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. NORTH BAY DERMATOLOGY ASSOCIATES NPI is 1275622664. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Glenn A. Koby, Md.
The provider's business location address is:
106 LYNCH CREEK WAY
SUITE #8
PETALUMA, CA
ZIP 94954-356
Phone: (707) 763-6816
Fax: (707) 763-1730
The provider's authorized official is Santiago Centurion .
The authorized official title is Practice Owner and has the following contact phone number (707) 763-6816.
The CLIA number assigned to this NPI record is 05D0605021 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 10/12/2006 and was last updated on 6/25/2019.