Organization
BERKELEY ORTHOPAEDIC MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DEBENHAM M.D. (PRESIDENT)
(510) 845-3856
Entity
Organization
Contact information
Practice address
3010 COLBY ST, SUITE 118, BERKELEY, CA 94705-2059
(510) 845-3856
(510) 845-1936
Mailing address
3010 COLBY STREET, SUITE 118, BERKELEY, CA 94705
(510) 845-3856
(510) 845-1936
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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