| Vivacitas Medical Group Pc | |
|
1383 N Mcdowell Blvd Ste 110 Petaluma CA 94954-1190 | |
| (707) 766-9852 | |
| Not Available |
| Full Name | Vivacitas Medical Group Pc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 1383 N Mcdowell Blvd Ste 110, Petaluma, California |
| Authorized Official Name and Position | Stephen Steady (OWNER) |
| Authorized Official Contact | 4153093242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vivacitas Medical Group Pc 1383 N Mcdowell Blvd Ste 110 Petaluma CA 94954-1190 Ph: (707) 766-9852 | Vivacitas Medical Group Pc 1383 N Mcdowell Blvd Ste 110 Petaluma CA 94954-1190 Ph: (707) 766-9852 |
| NPI Number | 1427588417 |
|---|---|
| Provider Enumeration Date | 06/13/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427588417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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