Organization
JOHN MUIR TRAUMA PHYSICIANS BILLING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE THOMAS (CEO)
(925) 941-2100
Entity
Organization
Contact information
Practice address
1601 YGNACIO VALLEY RD, WALNUT CREEK, CA 94598-3122
(925) 947-5331
(925) 941-2177
Mailing address
PO BOX 9021, WALNUT CREEK, CA 94598-0921
(925) 947-5331
(925) 941-2177
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR002814A
—
CA
Enumeration date
01/10/2007
Last updated
02/23/2023
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