| River Street Integrative Medicine, Inc. | |
|
700 River St Santa Cruz CA 95060-2748 | |
| (831) 457-2000 | |
| (831) 457-2140 |
| Full Name | River Street Integrative Medicine, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 700 River St, Santa Cruz, California |
| Authorized Official Name and Position | Lester Jay Brodie (MEDICAL DOCTOR) |
| Authorized Official Contact | 8314572000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River Street Integrative Medicine, Inc. 700 River St Santa Cruz CA 95060-2748 Ph: (831) 457-2000 | River Street Integrative Medicine, Inc. 700 River St Santa Cruz CA 95060-2748 Ph: (831) 457-2000 |
| NPI Number | 1417293267 |
|---|---|
| Provider Enumeration Date | 12/26/2012 |
| Last Update Date | 06/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417293267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A79910 (California) | Primary |
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