John J. Jolley, MD a Professional Corporation
John J. Jolley, MD a Professional Corporation is a Medical Specialty Clinic/Center in San Rafael, California. Licensed in California. Registered with an NPI since 2011.
- Licensed in
- CA
- In the registry since
- 2011
Practice location Address checks out
750 Las Gallinas Ave Ste 106San Rafael, CA 94903-3408
Phone: (415) 888-2755
Fax: (415) 888-2754
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Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X · Licence G021951 (CA) |
|---|
Record details
| NPI number | 1053607903 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Jolley — President · (415) 888-2755 |
| NPI enumerated | June 20, 2011 |
| Last updated in NPPES | April 16, 2020 |
| Certification date | April 16, 2020 |
| Mailing address | 750 Las Gallinas Ave Ste 106, San Rafael, CA 94903-3408 |
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