Dr. GEORGIA L PUNG M.D.

61 CAMINO ALTO, STE 108, MILL VALLEY, CA, 949412934

atlas:atm_npi_1003103714

Block 2020Block Group 2Census Tract 1261Marin County California United States

What is stored

status: A
address: 61 CAMINO ALTO, STE 108, MILL VALLEY, CA, 949412934
npi: 1003103714
license: G062572
taxonomy: Pediatrics
other names: []
last updated: 2011-07-01
license state: CA
taxonomy code: 208000000X
all taxonomies: ["Pediatrics"]
sole proprietor: YES
enumeration date: 2011-07-01
enumeration type: NPI-1
practice locations: 0

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{
  "npi": "1003103714",
  "status": "A",
  "address": "61 CAMINO ALTO, STE 108, MILL VALLEY, CA, 949412934",
  "license": "G062572",
  "taxonomy": "Pediatrics",
  "other_names": [],
  "last_updated": "2011-07-01",
  "license_state": "CA",
  "taxonomy_code": "208000000X",
  "all_taxonomies": [
    "Pediatrics"
  ],
  "sole_proprietor": "YES",
  "enumeration_date": "2011-07-01",
  "enumeration_type": "NPI-1",
  "practice_locations": 0
}