Organization
COYNESS L. ENNIX JR., M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COYNESS LOYAL ENNIX JR. M.D. (PRESIDENT)
(510) 465-5500
Entity
Organization
Contact information
Practice address
3300 WEBSTER ST, SUITE 404, OAKLAND, CA 94609-3117
(510) 465-5500
(510) 835-2682
Mailing address
3300 WEBSTER ST, SUITE 404, OAKLAND, CA 94609-3117
(510) 465-5500
(510) 835-2682
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
C39990
CA
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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