Organization
ASSOCIATED INTERNAL MEDICINE MED GRP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN J NICKLES (PRESIDENT)
(510) 465-6700
Entity
Organization
Contact information
Practice address
350 30TH ST, STE 320, OAKLAND, CA 94609-3424
(510) 465-6700
(510) 465-7765
Mailing address
350 30TH ST, STE 320, OAKLAND, CA 94609-3424
(510) 465-6700
(510) 465-7765
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RR0500X
Rheumatology Physician
—
—
Other
Enumeration date
03/31/2006
Last updated
01/21/2010
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