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 STE A, OAKLAND, CA 94608-2811
(510) 444-9460
(510) 444-1966
Mailing address
5709 MARKET ST STE A, OAKLAND, CA 94608-2811
(510) 444-9460
(510) 444-1966
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
C41403
CA
Other
Enumeration date
02/08/2012
Last updated
02/09/2012
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