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Organization
EAST BAY ORTHOPAEDIC SPECIALISTS MEDICAL CORPORATION
Active
Organization
EAST BAY ORTHOPAEDIC SPECIALISTS MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE ARTHUR PUGH M.D. (PRESIDENT)
(510) 238-1468
Entity
Organization
Contact information
Practice address
350 30TH ST STE 530, OAKLAND, CA 94609-3426
(510) 238-1468
(510) 839-3796
Mailing address
350 30TH ST STE 530, OAKLAND, CA 94609-3426
(510) 238-1468
(510) 839-3796
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G38318
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G383180
MEDI-CAL
CA
Enumeration date
01/24/2007
Last updated
10/07/2009
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