Organization
EAST BAY ENT FAC PLAS SG MD GRP INC
Active
Organization
EAST BAY ENT FAC PLAS SG MD GRP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN LARMORE M.D. (OWNER)
(925) 277-9000
Entity
Organization
Contact information
Practice address
5401 NORRIS CANYON RD, SUITE 302, SAN RAMON, CA 94583-5409
(925) 277-9000
Mailing address
5401 NORRIS CANYON RD, SUITE 302, SAN RAMON, CA 94583-5409
(925) 277-9000
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
C031854
CA
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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