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Organization

PENSCOTT MEDICAL CORPORATION

Active
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Organization

PENSCOTT MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN WILLIAM ROBERTS MD (PRESIDENT)
(925) 736-8510
Entity
Organization

Contact information

Practice address
4165 BLACKHAWK PLAZA CIR, #250, DANVILLE, CA 94506-4904
(925) 736-8510
(925) 736-2491
Mailing address
4165 BLACKHAWK PLAZA CIR, #250, DANVILLE, CA 94506-4904
(925) 736-8510
(925) 736-2491

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G53582
CA

Other

Enumeration date
09/27/2006
Last updated
08/22/2020
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