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Individual

JANE E. THRUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
275 W MACARTHUR BLVD, OAKLAND, CA 94611-5641
(510) 752-1000
(209) 524-4240
Mailing address
275 W MACARTHUR BLVD, OAKLAND, CA 94611-5641
(510) 752-1000
(209) 524-4240

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G55452
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G554520
BLUE SHIELD
CA
05
00G554520
CA
Enumeration date
11/07/2005
Last updated
12/27/2021
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