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Organization
PRSMT MEDICAL GROUP PC
Active
Organization
PRSMT MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WANTUCK (PRESIDENT)
(650) 485-3759
Entity
Organization
Contact information
Practice address
1212 BROADWAY PLZ STE 2100, WALNUT CREEK, CA 94596-5129
(650) 485-3759
Mailing address
1212 BROADWAY PLZ STE 2100, WALNUT CREEK, CA 94596-5129
(650) 485-3759
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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