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Organization

LYNN E. SPITLER, MD, A MEDICAL CORPORATION

Active
Other names
Northern California Melanoma Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LYNN E. SPITLER MD (PRESIDENT)
(415) 750-4020
Entity
Organization

Contact information

Practice address
450 STANYAN STREET, ST. MARY'S MEDICAL CENTER, NORTHERN CALIFORNIA MELANOMA, SAN FRANCISCO, CA 94117-2725
(415) 750-5660
(415) 750-4860
Mailing address
1895 MOUNTAIN VIEW DRIVE, TIBURON, CA 94920-1809
(415) 750-5660
(415) 750-4860

Taxonomy

Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
C26446
CA
207RX0202X
Medical Oncology Physician
C26446
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00C264460
MEDICARE
CA
05
00C264460
CA
Enumeration date
03/01/2007
Last updated
04/11/2011
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