Prima Medical Foundation

NPI #1033503446 in Novato, California

Provider Information

NPI Number: 1033503446
Entity Type: Organization
Organization Name: Prima Medical Foundation
Subpart: Yes (part of a larger organization)
Parent Organization: PRIMA MEDICAL FOUNDATION
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Mar 24, 2015
Last Updated: Mar 24, 2015

Practice Location

Address: 75 ROWLAND WAY
Address 2: SUITE 275
City: Novato
State: California
ZIP Code: 94945-5037
Phone: (415) 461-7800

Authorized Official

Name: WAYNE FAIRCHILD
Title: CHIEF EXECUTIVE OFFICER
Phone: (415) 842-5101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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