Contra Costa Ent Medical Assoc

NPI #1013007889 in Concord, California

Provider Information

NPI Number: 1013007889
Entity Type: Organization
Organization Name: Contra Costa Ent Medical Assoc
Primary Specialty: Otolaryngology
Enumeration Date: Oct 13, 2006
Last Updated: Sep 2, 2011

Practice Location

Address: 2700 GRANT ST
Address 2: SUITE 104
City: Concord
State: California
ZIP Code: 94520
Phone: (925) 685-7400

Authorized Official

Name: DR. RANDALL K WENOKUR, MD
Title: OWNER PHYSICIAN
Phone: (825) 685-7400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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