Organization
UNIVERSITY HEALTHCARE ALLIANCE
Active
Other names
Summitt ENT
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE RUSLEN (DIRECTOR OF REIMBURSEMENT)
(510) 974-8297
Entity
Organization
Contact information
Practice address
350 30TH ST STE 311, OAKLAND, CA 94609-3425
(510) 465-0941
Mailing address
7999 GATEWAY BLVD STE 200, NEWARK, CA 94560-1197
(510) 974-8258
(510) 974-8322
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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