Organization
TRI VALLEY PLASTIC SURGERYPROFESSIONAL MEDICAL CORPOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEAU ASCARRUNZ (PRACTICE ADMINISTRATOR)
(925) 875-0700
Entity
Organization
Contact information
Practice address
11820 DUBLIN BLVD, DUBLIN, CA 94568-2830
(925) 875-0700
(925) 875-0576
Mailing address
11820 DUBLIN BLVD, DUBLIN, CA 94568-2830
(925) 875-0700
(925) 875-0576
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
04/09/2010
Last updated
02/08/2018
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