Organization
MARIN HEALTHCARE DISTRICT
Active
Other names
Sirona Vascular Center
Organization subpart
No
Provider details
NPI number
Authorized official
LEE DOMANICO (CEO)
(415) 464-2090
Entity
Organization
Contact information
Practice address
100 DRAKES LANDING RD # B, SUITE 250, GREENBRAE, CA 94904-2404
(415) 464-5400
(415) 464-5413
Mailing address
1100 S ELISEO DR, SUITE 2A, GREENBRAE, CA 94904-2017
(415) 464-5400
(415) 464-5413
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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