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Organization
KOLBECK, BAUER AND STANTON MEDICAL CORPORATION
Active
Organization
KOLBECK, BAUER AND STANTON MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER CHARLES KOLBECK M.D. (MEDICAL DIRECTOR)
(916) 863-1496
Entity
Organization
Contact information
Practice address
950 RIVERSIDE PKWY, SUITE 90, WEST SACRAMENTO, CA 95605-1501
(916) 863-1496
(916) 863-1498
Mailing address
950 RIVERSIDE PKWY, SUITE 90, WEST SACRAMENTO, CA 95605-1501
(916) 863-1496
(916) 863-1498
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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