Organization
NORCAL UROLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL F DEVIVO (PRACTICE ADMINISTRATOR)
(510) 465-5800
Entity
Organization
Contact information
Practice address
1220 ROSSMOOR PKWY, WALNUT CREEK, CA 94595-2501
(925) 988-7555
(925) 939-0153
Mailing address
3300 WEBSTER ST, SUITE 710, OAKLAND, CA 94609-3117
(510) 465-5800
(510) 839-8984
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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