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Organization
PURISIMA FAMILY MEDICINE, INC.
Active
Organization
PURISIMA FAMILY MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL EUGENE MCMILLAN M.D. (PRESIDENT)
(650) 288-0508
Entity
Organization
Contact information
Practice address
575 KELLY ST, HALF MOON BAY, CA 94019-1719
(650) 288-0508
(650) 713-0535
Mailing address
PO BOX 277, HALF MOON BAY, CA 94019-0277
(650) 288-0508
(650) 713-0535
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/11/2009
Last updated
06/11/2009
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