Individual
JOSEPH MICHAEL CENTENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 HOSPITAL DR STE 303, BAY AREA ORTHOPEDIC SURGERY AND SPORTS MEDICINE, VALLEJO, CA 94589
(707) 645-7210
(707) 645-7249
Mailing address
100 HOSPITAL DR STE 303, BAY AREA ORTHOPEDIC SURGERY AND SPORTS MEDICINE, VALLEJO, CA 94589-2583
(707) 645-7210
(707) 645-7249
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A77447
CA
Other
Enumeration date
05/02/2006
Last updated
06/04/2012
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