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Organization

VIVACITAS MEDICAL GROUP PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN STEADY MD (OWNER)
(415) 309-3242
Entity
Organization

Contact information

Practice address
1383 N MCDOWELL BLVD STE 110, PETALUMA, CA 94954-1190
(707) 766-9852
Mailing address
1383 N MCDOWELL BLVD STE 110, PETALUMA, CA 94954-1190
(707) 766-9852

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary

Other

Enumeration date
06/13/2017
Last updated
07/21/2022
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