Provider Demographics
NPI:1063893741
Name:PIPER, PATRICIA (DVM)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:
Last Name:PIPER
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6422 OLD REDWOOD HWY
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95403-1158
Mailing Address - Country:US
Mailing Address - Phone:707-838-3031
Mailing Address - Fax:707-838-4905
Practice Address - Street 1:6422 OLD REDWOOD HWY
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95403-1158
Practice Address - Country:US
Practice Address - Phone:707-838-3031
Practice Address - Fax:707-838-4905
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-17
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7222284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital