Organization
BLACKHAWK PLASTIC SURGERY, A MEDICAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN J. RONAN M.D. (OWNER)
(925) 736-5757
Entity
Organization
Contact information
Practice address
3600 BLACKHAWK PLAZA CIR, DANVILLE, CA 94506-4623
(925) 736-5757
(925) 736-5763
Mailing address
11999 SAN VICENTE BLVD, STE 440, LOS ANGELES, CA 90049-5131
(310) 440-3131
(310) 472-9582
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
06/14/2006
Last updated
11/08/2007
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