North Coast Faculty Medical Group INC

NPI #1710110754 in Sebastopol, California

Provider Information

NPI Number
1710110754
Entity Type
Organization
Organization Name
North Coast Faculty Medical Group INC
Primary Specialty
Surgery
Enumeration Date
Aug 25, 2009
Last Updated
Oct 16, 2009

Practice Location

Address
555 PETALUMA AVE
ZIP Code
95472-4224
Phone
(707) 829-8426

Authorized Official

Name
DR. STEVEN E LEVENBERG, DO
Title
PRESIDENT
Phone
(707) 521-8879

Specialties & Taxonomy Codes

Specialty
Surgery - Vascular SurgeryVascular Surgery
Surgery

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