Prima Medical Foundation

NPI #1346520905 in Larkspur, California

Provider Information

NPI Number: 1346520905
Entity Type: Organization
Organization Name: Prima Medical Foundation
Subpart: Yes (part of a larger organization)
Parent Organization: PRIMA MEDICAL FOUNDATION
Primary Specialty: Surgery
Enumeration Date: Aug 26, 2011
Last Updated: Jul 24, 2012

Practice Location

Address: 5 BON AIR RD
Address 2: #101
City: Larkspur
State: California
ZIP Code: 94939-1143
Phone: (415) 924-2515

Authorized Official

Name: MR. JOEL A. CRISTE
Title: CEO
Phone: (415) 884-1840

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Colon & Rectal Surgery	208C00000X
Surgery	208600000X	Primary

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