| Blackhawk Medical Group, Inc | |
|
4165 Blackhawk Plaza Cir #100 Danville CA 94506-4904 | |
| (925) 736-7070 | |
| (925) 736-7075 |
| Full Name | Blackhawk Medical Group, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 4165 Blackhawk Plaza Cir, Danville, California |
| Authorized Official Name and Position | John W Roberts (OWNER/PARTNER) |
| Authorized Official Contact | 9257367070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blackhawk Medical Group, Inc 4165 Blackhawk Plaza Cir #100 Danville CA 94506-4904 Ph: (925) 736-7070 | Blackhawk Medical Group, Inc 4165 Blackhawk Plaza Cir #100 Danville CA 94506-4904 Ph: (925) 736-7070 |
| NPI Number | 1366474876 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 08/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366474876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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