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Individual

DR. PAUL ROBERT PERCHONOCK

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
461 34TH ST, OAKLAND, CA 94609-2815
(510) 655-7100
(510) 655-7147
Mailing address
461 34TH ST, OAKLAND, CA 94609-2815
(510) 655-7100
(510) 655-7147

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
G21009
CA

Other

Enumeration date
01/27/2006
Last updated
07/08/2007
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