Provider First Line Business Practice Location Address:
1425 S MAIN ST
Provider Second Line Business Practice Location Address:
KAISER -- WALNUT CREEK MEDICAL CENTER; ANESTHESIA
Provider Business Practice Location Address City Name:
WALNUT CREEK
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94596-5318
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-346-8001
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/23/2005