Organization
DEVADER MEDICAL & RESEARCH GROUP,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE POLK (CREDENTIALING)
(415) 331-8390
Entity
Organization
Contact information
Practice address
175 N REDWOOD DR, SUITE 275, SAN RAFAEL, CA 94903-1972
(415) 331-8390
Mailing address
175 N REDWOOD DR, SUITE 275, SAN RAFAEL, CA 94903-1972
(415) 331-8390
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
10/18/2012
Last updated
10/23/2012
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