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Individual

DR. SUSAN D JEIVEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2121 YGNACIO VALLEY RD, STE. E200, WALNUT CREEK, CA 94598-3338
(925) 939-7344
(925) 939-7345
Mailing address
2121 YGNACIO VALLEY RD, STE. E200, WALNUT CREEK, CA 94598-3338
(925) 939-7344
(925) 939-7345

Taxonomy

Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
A54202
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A542020
INDIVIDUAL PROVIDER #
CA
Enumeration date
04/03/2006
Last updated
07/08/2007
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