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Organization
PRAIRIE MEDICAL ASSOCIATES
Active
Organization
PRAIRIE MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARLEY PAGE (DIRECTOR)
(417) 861-9739
Entity
Organization
Contact information
Practice address
860 GREEN ISLAND RD, AMERICAN CANYON, CA 94503-9657
(415) 735-6453
(415) 548-2181
Mailing address
400 CONCAR DR STE 4-147, SAN MATEO, CA 94402-2681
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
07/28/2021
Last updated
06/24/2025
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