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Organization

PACIFIC HEALTH CLINIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEXTER FLOWER (MGR. CREDENTIALING)
(725) 666-1636
Entity
Organization

Contact information

Practice address
1040 DAVIS ST STE 103, SAN LEANDRO, CA 94577-1513
(510) 686-1122
Mailing address
1040 DAVIS ST STE 103, SAN LEANDRO, CA 94577-1513
(510) 686-1122

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Enumeration date
01/10/2025
Last updated
01/10/2025
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