NPI 1548722416
R. Mitchell Hiserote DO, Professional Corporation
Practice location
- Address
- 7064 Corline CT STE C1, Sebastopol, CA 95472-4528
- Phone
- (707) 329-6582
- Mailing address
- 648 McGinnis Cir, Cotati, CA 94931-7718
Authorised official
- Name
- Raymond Mitchell Hiserote
- Title
- Physician Owner
- Phone
- (707) 329-6582
Registered specialties
Neuromusculoskeletal Medicine & OMM Physician
Primary
Registry record
- NPI
- 1548722416
- Entity type
- Organization
- NPI issued
- 1 Apr 2019
- Record last updated
- 24 Feb 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.