Tides Center

NPI #1457496655 in Mill Valley, California

Provider Information

NPI Number: 1457496655
Entity Type: Organization
Organization Name: Tides Center
Primary Specialty: Specialist
Enumeration Date: Feb 21, 2007
Last Updated: Jul 21, 2022

Practice Location

Address: 655 REDWOOD HWY
Address 2: 200
City: Mill Valley
State: California
ZIP Code: 94941-3034
Phone: (415) 383-6623

Authorized Official

Name: DR. MILTON ESTES, M.D.
Title: MEDICAL DIRECTOR
Phone: (415) 383-6623

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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