Organization
AXIOM MEDICAL GROUP, A PROFESSIONAL CORPORATION
Active
Other names
Anatara Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA A GREEN N.D., L.AC. (ASSOCIATE CLINICAL DIRECTOR)
(415) 759-8833
Entity
Organization
Contact information
Practice address
2058 12TH AVE, SAN FRANCISCO, CA 94116-1306
(415) 759-8833
Mailing address
2058 12TH AVE, SAN FRANCISCO, CA 94116-1306
(415) 759-8833
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC14320
CA
175F00000X
Naturopath
ND419
CA
207R00000X
Internal Medicine Physician
Primary
C050117
CA
207RC0000X
Cardiovascular Disease Physician
C050117
CA
207ZP0101X
Anatomic Pathology Physician
C050117
CA
Other
Enumeration date
06/06/2011
Last updated
06/06/2011
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