Organization
DAUDEL PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. J. LINN DAUDEL M.D. (OWNER)
(415) 331-8390
Entity
Organization
Contact information
Practice address
1100 ROSE DR, STE 140, BENICIA, CA 94510-3623
(707) 745-3700
Mailing address
175 N REDWOOD DR, STE 275, SAN RAFAEL, CA 94903-1942
(415) 331-8390
(415) 331-8380
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
A95421
CA
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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