Organization
ASSOCIATED NEUROLOGY MEDICAL GROUP, INC.
Active
Organization
ASSOCIATED NEUROLOGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL ROBERT STARKEY MD (PRESIDENT OF CORPORATION)
(510) 834-5778
Entity
Organization
Contact information
Practice address
365 HAWTHORNE AVE, SUITE 203, OAKLAND, CA 94609-3107
(510) 834-5778
Mailing address
365 HAWTHORNE AVE, SUITE 203, OAKLAND, CA 94609-3107
(510) 834-5778
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
C1233914
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0017862
—
CA
Enumeration date
06/28/2007
Last updated
08/22/2020
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