Whalio Doctors

NPI 1548722416

R. Mitchell Hiserote DO, Professional Corporation

Organisation Neuromusculoskeletal Medicine & OMM Physician Sebastopol, CA

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
Allopathic & Osteopathic Physicians Taxonomy 204D00000X

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.