Organization
PRIMA MEDICAL FOUNDATION
Active
Parent organization
PRIMA MEDICAL FOUNDATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIMA MEDICAL FOUNDATION
Authorized official
WAYNE FAIRCHILD (CHIEF EXECUTIVE OFFICER)
(415) 842-5101
Entity
Organization
Contact information
Practice address
75 ROWLAND WAY, SUITE 275, NOVATO, CA 94945-5037
(415) 461-7800
Mailing address
9 COMMERCIAL BLVD, SUITE 200, NOVATO, CA 94949-6118
(415) 842-5038
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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