Organization
LYNN E. SPITLER, MD, A MEDICAL CORPORATION
Active
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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