Individual
DR. EDWYNE D NAZARIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1036 SIR FRANCIS DRAKE BLVD, KENTFIELD, CA 94904-1427
(415) 456-9500
(415) 456-6604
Mailing address
2154 FOURTH STREET, SAN RAFAEL, CA 94901
(415) 456-9500
(415) 842-7691
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A38982
CA
Other
Enumeration date
01/18/2007
Last updated
03/12/2019
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