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Organization · Orthopaedic Surgery Physician · San Rafael, CA

NPI
1679656490
Type
Organization (Type 2)
Primary specialty
Orthopaedic Surgery Physician (Orthopaedic Surgery)
Specialty group
Allopathic & Osteopathic Physicians
Taxonomy code
207X00000X
License number
G23690
Enumerated
2006-10-23
Last updated
2008-01-17
Practice location
711 D Street, Suite 102
San Rafael, CA 94901
(415) 457-7414

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