Basic Information
Provider Information
NPI: 1750343729
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALGAR
FirstName: ROBERT
MiddleName: CHANCE
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 575 LENNON LN STE 152
Address2:  
City: WALNUT CREEK
State: CA
PostalCode: 945982443
CountryCode: US
TelephoneNumber: 9256027060
FaxNumber: 9256027070
Practice Location
Address1: 575 LENNON LN STE 152
Address2:  
City: WALNUT CREEK
State: CA
PostalCode: 945982443
CountryCode: US
TelephoneNumber: 9256027060
FaxNumber: 9256027070
Other Information
ProviderEnumerationDate: 04/05/2006
LastUpdateDate: 07/14/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/14/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084N0400XA87212CAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology

No ID Information.


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