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Organization

MARIN HEALTHCARE DISTRICT

Active
Other names
Sirona Vascular Center
Organization subpart
No

Provider details

NPI number
Authorized official
LEE DOMANICO (CEO)
(415) 464-2090
Entity
Organization

Contact information

Practice address
75 ROWLAND WAY, SUITE 101, NOVATO, CA 94945-5037
(415) 493-4944
(415) 493-4949
Mailing address
75 ROWLAND WAY, SUITE 101, NOVATO, CA 94945-5037
(415) 493-4944

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary

Other

Enumeration date
08/19/2015
Last updated
08/19/2015
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