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Prima Medical Foundation
General Practice Physician in Sebastopol, California
NPI 1902244528

Prima Medical Foundation is a General Practice Physician based in Novato, CA. Prima Medical Foundation practices in Sebastopol, CA. The NPI Number for Prima Medical Foundation is 1902244528 and holds a License No. (California).

The current practice location address for Prima Medical Foundation is 652 Petaluma Ave, Sebastopol, CA and can be reached out via phone at 707-823-7616 and via fax at 707-823-2803.

Location: 652 Petaluma Ave, Sebastopol, CA, 94949-8256
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902244528
Provider Name
Prima Medical Foundation
Credential
Provider Entity Type
Organization
Address
652 Petaluma Ave, Sebastopol, CA, 94949-8256
Phone Number
707-823-7616
Fax Number
707-823-2803
Provider Enumeration Date
06/05/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
652 Petaluma Ave
City
Sebastopol
State
California
Zip
95472-4256
Phone Number
707-823-7616
Fax Number
707-823-2803
person
Provider Business Mailing Address Details
Address
652 Petaluma Ave
City
Sebastopol
State
California
Zip
95472-4256
Phone Number
707-823-7616
Fax Number
707-823-2803
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
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