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Organization
MARK R NORTHFIELD, M.D.
Active
Organization
MARK R NORTHFIELD, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEE D BRILL (RECEPTIONIST)
(707) 778-1131
Entity
Organization
Contact information
Practice address
1496 PROFESSIONAL DR, SUITE 601, PETALUMA, CA 94954-6698
(707) 778-1131
(707) 778-3818
Mailing address
1496 PROFESSIONAL DR, SUITE 601, PETALUMA, CA 94954-6698
(707) 778-1131
(707) 778-3818
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G77114
CA
Other
Enumeration date
01/09/2008
Last updated
01/09/2008
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