Dr. Philippe Edouard, MD
Internal Medicine in Petaluma, CA. Individual provider (NPI-1).
NPI number1124029491
StatusActive
Last updated in NPPESSep 20, 2019
Details
- NPI
- 1124029491
- Entity type
- Individual (NPI-1)
- Name
- Dr. Philippe Edouard
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 9, 2005
- Last updated
- Sep 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | C51257 | CA | Yes |
Practice location
1179 N McDowell BlvdPetaluma, CA 94954-6559
Phone 707-559-7500 · Fax 707-559-7620
Mailing address
1179 N McDowell BlvdPetaluma, CA 94954-6559
Phone 707-559-7500 · Fax 707-559-7620
Other practice locations
5900 State Farm Dr Ste 200
Rohnert Park, CA 94928-2149
Rohnert Park, CA 94928-2149
Phone 707-559-7600
1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Santa Rosa, CA 95405-4801
Phone 707-546-3210
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