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Organization
LIVERMORE PRIMARY CARE MEDICAL ASSOCIATES, INC.
Active
Organization
LIVERMORE PRIMARY CARE MEDICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND JOSEPH ROWELL MD (PRESIDENT/CEO)
(925) 443-3232
Entity
Organization
Contact information
Practice address
42 FENTON ST, LIVERMORE, CA 94550-4144
(925) 443-3232
(925) 443-3239
Mailing address
42 FENTON ST, LIVERMORE, CA 94550-4144
(925) 443-3232
(925) 443-3239
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ62159Z
BLUE SHIELD
CA
Enumeration date
08/23/2007
Last updated
06/17/2014
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