Myra Mary Altenau


Address: 16 Vernon St, Suite 30, Oakland, CA 94610-4203
Phone: 7073937978

Myra Mary Altenau (NPI# 1174716039, PAC ID# 7911121983) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1174716039
PAC ID by PECOS 7911121983
Professional Enrollment ID I20140612001554
Full Name Myra Mary Altenau
Address 16 Vernon St
Suite 30
Oakland
CA 94610-4203
Phone Number 7073937978
Gender F
Graduation Year 2010
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
16 Vernon St, Suite 30, Oakland, CA 94610-4203 7073937978

Organization Information

Office Location

Street Address 16 VERNON ST
SUITE 30
City OAKLAND
State CA
Zip 94610-4203

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Divya T Raj Family Medicine One Medical Group Inc 3850 Grand Ave, Oakland, CA 94610-1004
Vicky Valverde-salas Family Medicine 1345 Grand Ave, Suite 103, Piedmont, CA 94610-1074
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Competitor

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City OAKLAND
Zip Code 94610
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty OAKLAND + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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