David M Tully Smith M D a Medical Corporation
David M Tully Smith M D a Medical Corporation provides Family Medicine Physician services in San Rafael, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
711 D St Ste 111San Rafael, CA 94901-3707 Not confirmed with CMS for 17 years — call before visiting
Phone: (415) 453-3030
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence G30229 (CA) |
|---|
Record details
| NPI number | 1780728246 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dana Tully-Smith — Vice President · (707) 544-2632 |
| Other names | Mill Valley Medical Group |
| NPI enumerated | February 17, 2007 |
| Last updated in NPPES | November 7, 2008 |
| Mailing address | Po Box 3137, Rohnert Park, CA 94927-3137 |
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