Individual
JEFFREY ALAN POAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 YGNACIO VALLEY RD, WALNUT CREEK, CA 94598-3122
(925) 939-3000
(925) 947-5286
Mailing address
PO BOX 7793, SAN FRANCISCO, CA 94120-7793
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G53540
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G535400
—
CA
Enumeration date
06/28/2006
Last updated
07/08/2007
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