| Tb Dot Program | |
|
597 Center Ave Suite 200 A Martinez CA 94553-4640 | |
| (925) 957-5489 | |
| Not Available |
| Full Name | Tb Dot Program |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 597 Center Ave, Martinez, California |
| Authorized Official Name and Position | Patrick M. Godley (COO AND CFO) |
| Authorized Official Contact | 9259575405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tb Dot Program 50 Douglas Dr Suite 320 B Martinez CA 94553-4098 Ph: (925) 954-5489 | Tb Dot Program 597 Center Ave Suite 200 A Martinez CA 94553-4640 Ph: (925) 957-5489 |
| NPI Number | 1083041396 |
|---|---|
| Provider Enumeration Date | 10/01/2013 |
| Last Update Date | 10/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083041396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
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