Misco Medical Group INC

NPI #1932469749 in Kentfield, California

Provider Information

NPI Number: 1932469749
Entity Type: Organization
Organization Name: Misco Medical Group INC
Primary Specialty: Internal Medicine
Enumeration Date: May 25, 2012
Last Updated: May 25, 2012

Practice Location

Address: 1125 SIR FRANCIS DRAKE BLVD
City: Kentfield
State: California
ZIP Code: 94904-1418
Phone: (877) 870-9301

Authorized Official

Name: DR. JAMISON DEREK FERAMISCO, M.D.
Title: CEO/OWNER
Phone: (877) 870-9301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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