Healthcare Provider Details

I. General information

NPI: 1134499049
Provider Name (Legal Business Name): MISSOURI EMERGENCY SERVICES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2012
Last Update Date: 01/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 HOPYARD RD STE 100
PLEASANTON CA
94588-3146
US

IV. Provider business mailing address

5000 HOPYARD RD STE 100
PLEASANTON CA
94588-3146
US

V. Phone/Fax

Practice location:
  • Phone: 925-924-1600
  • Fax:
Mailing address:
  • Phone: 925-924-1600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RANDAL L. DABBS
Title or Position: PRESIDENT
Credential: MD
Phone: 925-924-1600