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Organization
RELEVARE GROUP INCORPORATED
Active
Organization
RELEVARE GROUP INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL LEE MEDVIN M.D. (OWNER)
(707) 888-5808
Entity
Organization
Contact information
Practice address
1287 FULTON RD, SANTA ROSA, CA 95401-4923
(707) 888-5808
(707) 577-8315
Mailing address
PO BOX 1770, LA MESA, CA 91944-1770
(619) 464-1165
(619) 567-1011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A0736012
CA
Other
Enumeration date
02/25/2013
Last updated
03/07/2013
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