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Individual

DR. JAMES B BRONK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1200 B GALE WILSON BLVD, FAIRFIELD, CA 94533-3552
(707) 429-3600
(707) 429-7997
Mailing address
PO BOX 3222, NAPA, CA 94558-0293
(707) 261-7804
(707) 256-3508

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G50612
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G506120
CA
01
360003125
RAILROAD MEDICARE PIN
Enumeration date
05/04/2006
Last updated
04/29/2008
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