Guy Delorefice M.d. Inc. | |
370 Perkins St Sonoma CA 95476-6827 | |
(707) 938-1255 | |
(707) 938-2321 |
Full Name | Guy Delorefice M.d. Inc. |
---|---|
Speciality | Internal Medicine |
Location | 370 Perkins St, Sonoma, California |
Authorized Official Name and Position | Guy Delorefice (OFFICER) |
Authorized Official Contact | 7079381255 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Guy Delorefice M.d. Inc. 370 Perkins St Sonoma CA 95476-6827 Ph: (707) 938-1255 | Guy Delorefice M.d. Inc. 370 Perkins St Sonoma CA 95476-6827 Ph: (707) 938-1255 |
NPI Number | 1033446125 |
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Provider Enumeration Date | 11/10/2009 |
Last Update Date | 12/04/2018 |
Medicare PECOS PAC ID | 2264567387 |
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Medicare Enrollment ID | O20100315000796 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033446125 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A0689180 (California) | Primary |
Provider Name | Guy Delorefice |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952426421 PECOS PAC ID: 4789744715 Enrollment ID: I20081120000879 |
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