SEAN MICHAEL TIRET MD

250 BON AIR RD, GREENBRAE, CA, 949041702

atlas:atm_npi_1770043119

Block 1004Block Group 1Census Tract 1192.01Marin County California United States

What is stored

status: A
address: 250 BON AIR RD, GREENBRAE, CA, 949041702
npi: 1770043119
license: A176632
taxonomy: Emergency Medicine
other names: []
last updated: 2022-06-30
license state: CA
taxonomy code: 207P00000X
all taxonomies: ["Emergency Medicine"]
sole proprietor: YES
enumeration date: 2019-03-21
enumeration type: NPI-1
practice locations: 2

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{
  "npi": "1770043119",
  "status": "A",
  "address": "250 BON AIR RD, GREENBRAE, CA, 949041702",
  "license": "A176632",
  "taxonomy": "Emergency Medicine",
  "other_names": [],
  "last_updated": "2022-06-30",
  "license_state": "CA",
  "taxonomy_code": "207P00000X",
  "all_taxonomies": [
    "Emergency Medicine"
  ],
  "sole_proprietor": "YES",
  "enumeration_date": "2019-03-21",
  "enumeration_type": "NPI-1",
  "practice_locations": 2
}