Organization
EAST BAY MEDICAL ONCOLOGY-HEMATOLOGY ASSOCIATES
Active
Other names
Epic Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHELPS JACKSON (CEO)
(925) 771-1404
Entity
Organization
Contact information
Practice address
4721 DALLAS RANCH RD, ANTIOCH, CA 94531-8811
(925) 778-0679
(925) 778-3567
Mailing address
4721 DALLAS RANCH RD, ANTIOCH, CA 94531-8811
(925) 778-0679
(925) 778-3567
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
G39816
CA
Other
Enumeration date
04/11/2008
Last updated
04/04/2012
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