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Organization

EAST BAY VASCULAR MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NANCI CARTER WEBB (PRACTICE MANAGER)
(510) 832-6131
Entity
Organization

Contact information

Practice address
130 LA CASA VIA, STE 201 BLDG 1, WALNUT CREEK, CA 94598
(925) 932-5313
Mailing address
130 LA CASA VIA, STE 201 BLDG 1, WALNUT CREEK, CA 94598
(925) 932-5313

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary

Other

Enumeration date
09/13/2006
Last updated
01/30/2008
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