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Organization
SALLY DAGANZO, MD INC
Active
Organization
SALLY DAGANZO, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALLY DAGANZO MD (CEO)
(415) 249-2580
Entity
Organization
Contact information
Practice address
4040 CIVIC CENTER DR, SAN RAFAEL, CA 94903-4150
(415) 249-2580
Mailing address
454 LAS GALLINAS AVE # 1083, SAN RAFAEL, CA 94903-3618
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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