Individual
DR. JOHN COMPAGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
712 ALFRED NOBEL DR, HERCULES, CA 94547-1805
(510) 662-5200
Mailing address
712 ALFRED NOBEL DR, HERCULES, CA 94547-1805
(510) 662-5200
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G38126
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G381261
—
CA
Enumeration date
06/21/2005
Last updated
07/09/2007
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