Paul Alexander Vanravenswaay, MD
Psychiatry & Neurology, Psychiatry in Tiburon, CA. Individual provider (NPI-1).
NPI number1790766566
StatusActive
Last updated in NPPESFeb 27, 2015
Details
- NPI
- 1790766566
- Entity type
- Individual (NPI-1)
- Name
- Paul Alexander Vanravenswaay
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 9, 2005
- Last updated
- Feb 27, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | G132570 | CA | Yes |
Practice location
125 Solano StTiburon, CA 94920-1969
Phone 415-900-5022
Mailing address
125 Solano StTiburon, CA 94920-1969
Phone 415-900-5022
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