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Organization
SOLANO FAMILY PHYSICANS MEDICAL GROUP PROFESSIONAL CORPORATION
Active
Organization
SOLANO FAMILY PHYSICANS MEDICAL GROUP PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH RICHARD BROOKS M.D. (PRESIDENT/CEO)
(707) 645-7229
Entity
Organization
Contact information
Practice address
3431 BROADWAY ST, SUITE A-8, AMERICAN CANYON, CA 94503-1228
(707) 645-7229
(707) 645-7431
Mailing address
3431 BROADWAY ST, SUITE A-8, AMERICAN CANYON, CA 94503-1228
(707) 645-7229
(707) 645-7431
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00A0627550
CA
Other
Enumeration date
08/29/2006
Last updated
12/29/2011
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