| Relevare Group Incorporated | |
|
1287 Fulton Rd Santa Rosa CA 95401-4923 | |
| (707) 888-5808 | |
| (707) 577-8315 |
| Full Name | Relevare Group Incorporated |
|---|---|
| Speciality | Internal Medicine |
| Location | 1287 Fulton Rd, Santa Rosa, California |
| Authorized Official Name and Position | Michael Lee Medvin (OWNER) |
| Authorized Official Contact | 7078885808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Relevare Group Incorporated Po Box 1770 La Mesa CA 91944-1770 Ph: (619) 464-1165 | Relevare Group Incorporated 1287 Fulton Rd Santa Rosa CA 95401-4923 Ph: (707) 888-5808 |
| NPI Number | 1396085569 |
|---|---|
| Provider Enumeration Date | 02/25/2013 |
| Last Update Date | 03/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396085569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A0736012 (California) | Primary |
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