NPI 1013633312
Jeffrey Yates Hergenrather, MD
Practice location
- Address
- 678 Petaluma Ave, Sebastopol, CA 95472-4217
- Phone
- (707) 829-1811
- Mailing address
- 7969 Kennedy Rd, Sebastopol, CA 95472-5318
Registered specialties
Integrative Medicine Physician
Primary
Registry record
- NPI
- 1013633312
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 18 Oct 2022
- Record last updated
- 18 Oct 2022
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.