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MATTHEW BEDELL

>> Ophthalmology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1508159344

Individual Registrant:
 MATTHEW  BEDELL 
Gender: M
Sole Proprietor

Location and contact information for practice:
1000 S ELISEO DR SUITE 203 GREENBRAE, CA 94904-2133 US
Tel: 415-925-2020  Fax: 415-925-1870

Contact information for business:
1000 S ELISEO DR SUITE 203 GREENBRAE, CA 94904-2133 US
Tel: --  Fax: --

Registration Information:
NPI: 1508159344
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207W00000XAllopathic & Osteopathic Physicians
Ophthalmology
CAA124311

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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