Marin Endoscopy Center, Llc

NPI 1194718056 - Clinic/Center - 261QA1903X

NPI Details
NPI 1194718056
Enumeration Date 08/25/2005
Last Updated 04/17/2013
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name PHILLIP A PHILLIP
Position PRESIDENT
Phone (415) 464-0606
Fax (416) 464-0644
Practice Location
1100 S ELISEO DR
SUITE 3
GREENBRAE CA, 94904-2017, US
Phone (415) 464-0606
Fax (416) 464-0644
Business Location
1100 S ELISEO DR
SUITE 3
GREENBRAE CA, 94904-2017, US
Phone (415) 464-0606
Fax (416) 464-0644
Toxanomy
Taxonomy Code 261QA1903X
License State California
License Number 110000421
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According to our database, Marin Endoscopy Center, Llc NPI is 1194718056, taxonomy code is 261QA1903X and license number is 110000421, license state is located at California. Marin Endoscopy Center, Llc physically located at 1100 S Eliseo Dr, Greenbrae CA, 94904-2017. NPI Number 1033115704 has the healthcare provider type.

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1194718056 NPI number is provided on an as is basis without warranty of any kind. 1194718056 is maintained by the National Plan & Provider Enumeration System. The contents of Marin Endoscopy Center, Llc are for informational purposes only.