Provider Demographics
NPI:1912052606
Name:DEES, ROBERT C (DC)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:C
Last Name:DEES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:2570 SAN RAMON VALLEY BLVD
Mailing Address - Street 2:SUITE A-106
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-1637
Mailing Address - Country:US
Mailing Address - Phone:925-867-1414
Mailing Address - Fax:925-867-1420
Practice Address - Street 1:2570 SAN RAMON VALLEY BLVD
Practice Address - Street 2:SUITE A-106
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1637
Practice Address - Country:US
Practice Address - Phone:925-867-1414
Practice Address - Fax:925-867-1420
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA21292111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0212921Medicare ID - Type Unspecified