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Organization
TRI-VALLEYOB-GYN MEDICAL GROUP INC
Active
Organization
TRI-VALLEYOB-GYN MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DAVID BLEECKER M.D. (PRESIDENT)
(925) 447-1010
Entity
Organization
Contact information
Practice address
1133 E STANLEY BLVD, SUITE 205, LIVERMORE, CA 94550-4200
(925) 447-1010
(925) 447-0736
Mailing address
1133 E STANLEY BLVD, SUITE 205, LIVERMORE, CA 94550-4200
(925) 447-1010
(925) 447-0736
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ZZZ73778Z
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ73778Z
—
CA
Enumeration date
12/06/2006
Last updated
08/22/2020
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