| NPI | 1780728246 |
|---|---|
| Doing Business As | MILL VALLEY MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DANA TULLY-SMITH Vice President 707-544-2632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G30229) |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2008-11-07 |