Organization
AMERICAN HEALTH MEDICAL GROUP
Active
Other names
Alpha Omega Pain Medicine Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM GEORGE BROSE MD (PRESIDENT)
(650) 645-1100
Entity
Organization
Contact information
Practice address
1900 OFARRELL ST, SUITE 100, SAN MATEO, CA 94403-1386
(650) 645-1100
(650) 645-1197
Mailing address
1900 OFARRELL ST, SUITE 100, SAN MATEO, CA 94403-1386
(650) 645-1100
(650) 645-1197
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G55824
CA
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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