Individual
GENNA BEATTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1411 E 31ST ST, QIC 22134, OAKLAND, CA 94602-1018
(510) 437-4965
Mailing address
1411 E 31ST ST, QIC 22134, OAKLAND, CA 94602-1018
(510) 437-4965
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A148516
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/22/2015
Last updated
08/08/2023
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