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BRIAN E DEMUTH MD A PROFESSIONAL NPI 1669660205


NPI Information

NPI: 1669660205
Provider Name: BRIAN E DEMUTH MD A PROFESSIONAL
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1000 S ELISEO DR STE 101
GREENBRAE, CA
ZIP 94904
Phone: (415) 464-0184
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BRIAN E DEMUTH MD A PROFESSIONAL is a specialist in Greenbrae, 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. BRIAN E DEMUTH MD A PROFESSIONAL NPI is 1669660205. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1000 S ELISEO DR STE 101
GREENBRAE, CA
ZIP 94904-150
Phone: (415) 464-0184
Fax: (415) 464-0295

The provider's authorized official is Brian E. Demuth .
The authorized official title is Physician and has the following contact phone number (415) 464-0184.

The enumeration date for this NPI number is 10/9/2007 and was last updated on 1/29/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistG602230CALIFORNIAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D43852MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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