| Robert E Belknap Md Inc | |
|
655 Redwood Hwy Mill Valley CA 94941-3034 | |
| (415) 384-0506 | |
| (415) 384-0569 |
| Full Name | Robert E Belknap Md Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 655 Redwood Hwy, Mill Valley, California |
| Authorized Official Name and Position | Robert E Belknap (CEO) |
| Authorized Official Contact | 4153840506 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert E Belknap Md Inc 655 Redwood Hwy Mill Valley CA 94941-3034 Ph: (415) 384-0506 | Robert E Belknap Md Inc 655 Redwood Hwy Mill Valley CA 94941-3034 Ph: (415) 384-0506 |
| NPI Number | 1205009164 |
|---|---|
| Provider Enumeration Date | 04/10/2008 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 0345328878 |
|---|---|
| Medicare Enrollment ID | O20080423000442 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205009164 | NPI | - | NPPES |
| A24275 | Other | CA | CA STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A24275 (California) | Primary |
| Provider Name | Robert E Belknap |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336217306 PECOS PAC ID: 4981782414 Enrollment ID: I20080423000434 |
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