# PRIBYL MONTAGUE MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952169682
- **Authorized official:** SHEA PRIBYL DO (PRESIDENT)
- **Authorized official phone:** (707) 646-4414

## Contact information

- **Practice address:** 3434 VILLA LN STE 380, NAPA, CA 94558-6416
- **Practice address phone:** (707) 646-4414
- **Mailing address:** 1860 PENNSYLVANIA AVE, FAIRFIELD, CA 94533-3590
- **Mailing address phone:** (707) 646-4414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/07/2024
- **Last updated:** 03/07/2024