Organization
GREENBRIAR EMERGENCY PHYSICIANS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN MARON M.D. (PRESIDENT)
(925) 482-8249
Entity
Organization
Contact information
Practice address
501 PETALUMA AVE, SEBASTOPOL, CA 95472-4215
(707) 823-8511
Mailing address
PO BOX 3098, SAN DIMAS, CA 91773-7098
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770940561
—
CA
Enumeration date
01/25/2016
Last updated
06/22/2017
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