Individual
MR. ANDREW SCANLON IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 SAINT VINCENTS DR, SAN RAFAEL, CA 94903-1504
(415) 507-2000
Mailing address
1 SAINT VINCENTS DR, SAN RAFAEL, CA 94903-1504
(415) 507-2000
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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