| Park Avenue Walk In Clinic | |
|
1280 Monument Blvd Ste 1 Concord CA 94520-4405 | |
| (925) 825-8181 | |
| (925) 825-8383 |
| Full Name | Park Avenue Walk In Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1280 Monument Blvd Ste 1, Concord, California |
| Authorized Official Name and Position | Kevin Buckwalter (PHYSICIAN OWNER) |
| Authorized Official Contact | 9258258181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Avenue Walk In Clinic 1280 Monument Blvd Ste 1 Concord CA 94520-4405 Ph: (925) 825-8181 | Park Avenue Walk In Clinic 1280 Monument Blvd Ste 1 Concord CA 94520-4405 Ph: (925) 825-8181 |
| NPI Number | 1942407283 |
|---|---|
| Provider Enumeration Date | 06/29/2007 |
| Last Update Date | 09/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942407283 | NPI | - | NPPES |
| 1003813478 | Other | CA | NPI INDIVIDUAL |
| 1942407283 | Other | CA | NPI TYPE 2 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A63401 (California) | Primary |
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