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Organization
REGENTS OF THE UNIV OF CA
Active
Organization
REGENTS OF THE UNIV OF CA
Active
Other names
Regents UCDPBG Microbio
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY TROVATTEN (VICE PRESIDENT, GOV'T REIMBURSEMENT)
(916) 855-2315
Entity
Organization
Contact information
Practice address
3146 TUPPER HALL, DAVIS, CA 95616
(530) 752-9402
Mailing address
10850 WHITE ROCK RD, RANCHO CORDOVA, CA 95670-6044
(916) 734-9200
(916) 734-9336
Taxonomy
Speciality
Code
Description
License number
State
207ZM0300X
Medical Microbiology Physician
Primary
—
NULL
207ZM0300X
Medical Microbiology Physician
Primary
—
—
Other
Enumeration date
08/24/2005
Last updated
05/16/2025
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