Individual
EDWARD VERCELES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
411 30TH ST STE 314, OAKLAND, CA 94609-3312
(530) 400-2463
Mailing address
155 SAINT GERMAIN LN, PLEASANT HILL, CA 94523-1135
(530) 400-2463
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
20A12997
CA
Other
Enumeration date
06/11/2010
Last updated
05/06/2021
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