Organization
ST. FRANCIS MEDICAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COYNESS ENNIX JR. M.D. (AUTHORIZED OFFICIAL)
(510) 459-3547
Entity
Organization
Contact information
Practice address
1649 INDUSTRIAL PKWY W, HAYWARD, CA 94544-7046
(510) 459-3547
Mailing address
1151 HARBOR BAY PKWY, ALAMEDA, CA 94502-6540
(510) 459-3547
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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