Organization
VILA FACIAL PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER MICHAEL VILA MD, MSPH (FOUNDER AND SURGEON)
(415) 684-8452
Entity
Organization
Contact information
Practice address
899 NORTHGATE DR STE 110, SAN RAFAEL, CA 94903-3664
(415) 684-8452
Mailing address
899 NORTHGATE DR STE 110, SAN RAFAEL, CA 94903-3664
(415) 684-8452
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
03/02/2021
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