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Organization
COYNESS L. ENNIX JR., M.D., INC.
Active
Organization
COYNESS L. ENNIX JR., M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COYNESS LOYAL ENNIX JR. M.D. (PRESIDENT)
(510) 465-5500
Entity
Organization
Contact information
Practice address
3300 WEBSTER ST, SUITE 404, OAKLAND, CA 94609-3117
(510) 465-5500
(510) 835-2682
Mailing address
3300 WEBSTER ST, SUITE 404, OAKLAND, CA 94609-3117
(510) 465-5500
(510) 835-2682
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
C39990
CA
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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