Organization
SPORTS INJURY MEDICAL GROUP
Active
Organization
SPORTS INJURY MEDICAL GROUP
Active
Parent organization
SPORTS INJURY MEDICAL GROUP
Other names
Bay Area Orthopaedic & Sports Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPORTS INJURY MEDICAL GROUP
Authorized official
WARREN J STRADWICK MD (PRESIDENT/OWNER)
(510) 922-1614
Entity
Organization
Contact information
Practice address
5900 HOLLIS ST., SUITE K, EMERYVILLE, CA 94608
(510) 922-1614
(510) 922-8564
Mailing address
5900 HOLLIS ST., SUITE K, EMERYVILLE, CA 94608
(510) 922-1614
(510) 922-8564
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
305R00000X
Preferred Provider Organization
—
—
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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