Organization
PREVENTIVE CARE PATHWAYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY GEOFFREY WATSON M.D. (MEDICAL DIRECTOR)
(510) 444-9460
Entity
Organization
Contact information
Practice address
5709 MARKET ST, OAKLAND, CA 94608-2811
(510) 444-9460
Mailing address
5709 MARKET ST, OAKLAND, CA 94608-2811
(510) 444-9460
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
C41403
CA
Other
Enumeration date
12/03/2009
Last updated
12/03/2009
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