J. Talisman Pomeroy, IV, M.D.
Specialist in Soquel, CA. Organization (NPI-2).
NPI number1861697328
StatusActive
Last updated in NPPESNov 27, 2007
Details
- NPI
- 1861697328
- Entity type
- Organization (NPI-2)
- Legal business name
- J. Talisman Pomeroy, IV, M.D.
- Organization subpart
- No
- Enumeration date
- Jun 15, 2007
- Last updated
- Nov 27, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | G414340 | CA | Yes |
Other names
- J. Talisman Pomeroy, IV, M.D. (Former Legal Business Name)
Practice location
3035 N Main StSoquel, CA 95073-2204
Phone 831-462-8750 · Fax 831-475-5713
Mailing address
3035 N Main StSoquel, CA 95073-2204
Phone 831-462-8750 · Fax 831-475-5713
Authorized official
Marlyn Tashiro
Medical Biller
8314628755
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