Organization
CONTRA COSTA ENT MEDICAL ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL K WENOKUR MD (OWNER PHYSICIAN)
(825) 685-7400
Entity
Organization
Contact information
Practice address
2700 GRANT ST, SUITE 104, CONCORD, CA 94520
(925) 685-7400
(925) 685-0917
Mailing address
2700 GRANT STREET, SUITE 104, CONCORD, CA 94520
(925) 685-7400
(925) 685-0917
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
10/13/2006
Last updated
09/02/2011
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