Organization
JOHN COMPAGNO MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN COMPAGNO M.D. (MEDICAL DIRECTOR)
(510) 662-5200
Entity
Organization
Contact information
Practice address
712 ALFRED NOBEL DR, HERCULES, CA 94547-1805
(510) 662-5200
(510) 662-5240
Mailing address
PO BOX 700, PINOLE, CA 94564-0700
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/08/2007
Last updated
01/15/2008
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