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DR. CARIANNE BLOMQUIST D.O.
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1255528972
Individual Registrant:DR. CARIANNE BLOMQUIST D.O.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
630 DRAKE AVE SAUSALITO, CA 94965-1107 US
Tel: 415-339-8813 Fax: 415-339-8814
Tel: 415-339-8813 Fax: 415-339-8814
Contact information for business:
630 DRAKE AVE SAUSALITO, CA 94965-1107 US
Tel: 415-339-8813 Fax: 415-339-8814
Tel: 415-339-8813 Fax: 415-339-8814
Registration Information:
NPI: 1255528972
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | DC | DO034225 |
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | CA | 20A12300 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
