Mill Valley Medical Group

LBN: David M Tully Smith M D A Medical Corporation
Mill Valley Medical Group is an health care organization with primary practice located at 711 D St Suite 111, San Rafael CA 94901-3707. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. David M Tully Smith M D A Medical Corporation can be contacted via phone (415) 453-3030, or through Tully-Smith, Dana via phone (707) 544-2632.

Contact Information

Primary practice address
711 D St Suite 111 San Rafael CA 94901-3707
Phone: (415) 453-3030
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tully-Smith, Dana
Phone: (707) 544-2632

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G30229 California

Profile Details

NPI number 1780728246
LBN Legal business name David M Tully Smith M D A Medical Corporation
DBA Doing business as Mill Valley Medical Group
Authorized official Tully-Smith, Dana
Entity Organization
Organization subpart 1 No
Enumeration date Feb 17th, 2007
Last updated Nov 7th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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