Individual
DAVID DREVNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PNP
Contact information
Practice address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3058
Mailing address
747 52ND ST, GASTROENTEROLOGY, OAKLAND, CA 94609-1809
(510) 428-3058
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
21033
CA
Other
Enumeration date
04/23/2012
Last updated
06/13/2014
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