Organization
LIVERMORE MEDICAL CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES A. BLACKWELL M.D. (PRESIDENT)
(925) 373-0337
Entity
Organization
Contact information
Practice address
87 FENTON ST, SUITE 210, LIVERMORE, CA 94550-4100
(925) 373-0337
Mailing address
87 FENTON ST, SUITE 210, LIVERMORE, CA 94550-4100
(925) 373-0337
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
09/22/2006
Last updated
08/22/2020
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