First Med Marin Medical Clinic | |
900 S Eliseo Dr Ste 202 Greenbrae CA 94904-2153 | |
(415) 461-3500 | |
(415) 461-3891 |
Full Name | First Med Marin Medical Clinic |
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Speciality | Family Medicine |
Location | 900 S Eliseo Dr Ste 202, Greenbrae, California |
Authorized Official Name and Position | Barry Sandford Landfield (PRES) |
Authorized Official Contact | 4154613500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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First Med Marin Medical Clinic 900 S Eliseo Dr Ste 202 Greenbrae CA 94904-2153 Ph: (415) 461-3500 | First Med Marin Medical Clinic 900 S Eliseo Dr Ste 202 Greenbrae CA 94904-2153 Ph: (415) 461-3500 |
NPI Number | 1316145469 |
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Provider Enumeration Date | 07/10/2007 |
Last Update Date | 05/26/2017 |
Medicare PECOS PAC ID | 2062487010 |
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Medicare Enrollment ID | O20040901000813 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316145469 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G19884 (California) | Primary |
Provider Name | Barry S Landfield |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1386735058 PECOS PAC ID: 9032289459 Enrollment ID: I20080703000610 |
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