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Organization
WILLIAM JERVIS, M.D., F. A. C. S., INC.
Active
Organization
WILLIAM JERVIS, M.D., F. A. C. S., INC.
Active
Other names
Advanced Cosmetic Surgery of Walnut Creek
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM HORACE JERVIS JR. MD (MEDICAL DIRECTOR)
(925) 937-7100
Entity
Organization
Contact information
Practice address
1844 SAN MIGUEL DR, SUITE 109, WALNUT CREEK, CA 94596-4962
(925) 937-7100
(925) 937-3896
Mailing address
1844 SAN MIGUEL DR, SUITE 109, WALNUT CREEK, CA 94596-4962
(925) 937-7100
(925) 937-3896
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
G8005
CA
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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