Organization
MARIN PERSONALIZED MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L OGDEN MD (OWNER/PROVIDER)
(415) 925-3596
Entity
Organization
Contact information
Practice address
895 SIR FRANCIS DRAKE BLVD, SAN ANSELMO, CA 94960-1916
(415) 925-3617
Mailing address
895 SIR FRANCIS DRAKE BLVD, SAN ANSELMO, CA 94960-1916
(415) 925-3617
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/11/2013
Last updated
10/14/2021
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