| Sutter Pacific Medical Foundation | |
|
750 Las Gallinas Ave #210 San Rafael CA 94903-3438 | |
| (415) 479-7244 | |
| (415) 479-0917 |
| Full Name | Sutter Pacific Medical Foundation |
|---|---|
| Speciality | Pediatrics |
| Location | 750 Las Gallinas Ave, San Rafael, California |
| Authorized Official Name and Position | John Gates (RCFO) |
| Authorized Official Contact | 4156007755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sutter Pacific Medical Foundation Po Box 254947 Sacramento CA 95865-4947 Ph: (916) 854-6975 | Sutter Pacific Medical Foundation 750 Las Gallinas Ave #210 San Rafael CA 94903-3438 Ph: (415) 479-7244 |
| NPI Number | 1124252416 |
|---|---|
| Provider Enumeration Date | 05/14/2009 |
| Last Update Date | 09/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124252416 | NPI | - | NPPES |
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