Mill Valley Family Practice

NPI 1073502118 - Family Medicine - 207Q00000X

NPI Details
NPI 1073502118
Enumeration Date 10/20/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name GERALD C. GERALD
Position PHYSICIAN
Phone (415) 388-0775
Fax (415) 388-6542
Practice Location
61 CAMINO ALTO
#107
MILL VALLEY CA, 94941-2934, US
Phone (415) 388-0775
Fax (415) 388-6542
Business Location
61 CAMINO ALTO
#107
MILL VALLEY CA, 94941-2934, US
Phone (415) 388-0775
Fax (415) 388-6542
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Mill Valley Family Practice NPI is 1073502118, taxonomy code is 207Q00000X Mill Valley Family Practice physically located at 61 Camino Alto, Mill Valley CA, 94941-2934. NPI Number 1033115704 has the healthcare provider type.

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1073502118 NPI number is provided on an as is basis without warranty of any kind. 1073502118 is maintained by the National Plan & Provider Enumeration System. The contents of Mill Valley Family Practice are for informational purposes only.