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Organization
MARIN OPHTHALMIC CONSULTANTS, A MEDICAL CORPORATION
Active
Organization
MARIN OPHTHALMIC CONSULTANTS, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTEN HODGES (ACCOUNTS RECEIVABLE MANAGER)
(415) 454-5565
Entity
Organization
Contact information
Practice address
901 E ST, STE 285, SAN RAFAEL, CA 94901-2850
(415) 454-5565
(415) 454-2957
Mailing address
901 E ST, STE 285, SAN RAFAEL, CA 94901-2850
(415) 454-5565
(415) 454-2957
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
010589
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0015750
—
CA
Enumeration date
05/27/2005
Last updated
04/15/2013
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