Gastro Consultants Of Sacramento, Inc. | |
1014 N Market Blvd Suite 45 Sacramento CA 95834-1986 | |
(209) 751-7165 | |
Not Available |
Full Name | Gastro Consultants Of Sacramento, Inc. |
---|---|
Speciality | Internal Medicine - Gastroenterology |
Location | 1014 N Market Blvd, Sacramento, California |
Authorized Official Name and Position | Jonathan Sam Davidson (CEO) |
Authorized Official Contact | 2097517165 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gastro Consultants Of Sacramento, Inc. 262 Burgenland Ave Turlock CA 95382-0343 Ph: (209) 751-7165 | Gastro Consultants Of Sacramento, Inc. 1014 N Market Blvd Suite 45 Sacramento CA 95834-1986 Ph: (209) 751-7165 |
NPI Number | 1427472745 |
---|---|
Provider Enumeration Date | 02/06/2014 |
Last Update Date | 02/06/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427472745 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | G66389 (California) | Primary |
207RS0012X | Internal Medicine - Sleep Medicine | G66389 (California) | Secondary |
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