Prima Medical Foundation

NPI #1366606766 in Mill Valley, California

Provider Information

NPI Number
1366606766
Entity Type
Organization
Organization Name
Prima Medical Foundation
Subpart
Yes (part of a larger organization)
Parent Organization
PRIMA MEDICAL FOUNDATION
Primary Specialty
Pediatrics
Enumeration Date
Jul 15, 2008
Last Updated
Aug 31, 2012

Practice Location

Address
655 REDWOOD HIGHWAY
Address 2
SUITE 216
ZIP Code
94941
Phone
(415) 383-3500

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Pediatrics
Surgery
General Practice

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